ATHLETICO LTD
NPI 1407672660
Clinic/Center in Lexington, KY

Active since December 03, 2024
2703 RICHMOND RD STE 130, LEXINGTON, KY 40509(859) 687-6815(859) 788-5258 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center

About ATHLETICO LTD

This page provides the complete NPI Profile along with additional information for Athletico Ltd, a provider established in Lexington, Kentucky operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1407672660 assigned on December 2024. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Athletico Ltd operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Tasheda Broughton Pesc (Manager, Credentialing)

NPI
1407672660 Verify this NPI
Provider Name
ATHLETICO LTD
Entity Type
Organization
Location Address
2703 RICHMOND RD STE 130 LEXINGTON, KY 40509
Location Phone
(859) 687-6815
Location Fax
(859) 788-5258
Mailing Address
2122 YORK RD STE 300 OAK BROOK, IL 60523
Mailing Phone
(252) 248-3313
Mailing Fax
(410) 678-4878
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-03-2024
Last Update Date
12-03-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

 
2225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TASHEDA BROUGHTON PESC

Authorized Official Title
MANAGER, CREDENTIALING
Authorized Official Phone
(252) 248-3313

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407672660, enumerated as an "organization" on December 03, 2024.

The provider is located at 2703 RICHMOND RD STE 130 LEXINGTON, KY 40509 and the phone number is (859) 687-6815.

Clinic/Center with taxonomy code 261Q00000X.