ATHLETICO PHYSICAL THERAPY
NPI 1417455528
Clinic/Center in Union Grove, WI

Active since January 24, 2018
1201 MAIN ST, UNION GROVE, WI 53182(262) 878-9602(262) 878-9609 Get Directions Write a Review

NPPES record last updated: April 6, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Athletico Physical Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ATHLETICO PHYSICAL THERAPY (NPI 1417455528) is a healthcare organization registered as a clinic/center in Union Grove, Wisconsin and active in the NPI registry since January 2018. The organization lists Juana Granados, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1417455528
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSPORTS PHYSICAL THERAPY & REHAB SPECIALIST SC
Location Address1201 MAIN STUnion Grove, WI 53182-1303
Mailing Address600 Oakmont LnWestmont, IL 60559-5548 · (630) 575-1980 · Fax (630) 928-5080
Fax(262) 878-9609
Organization SubpartNo
Authorized OfficialJuana GranadosCredentialing Manager · (630) 575-1980
Enumeration DateJanuary 24, 2018
Last NPPES UpdateApril 6, 2018
NPI 1417455528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

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).

Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedOccupational TherapistTaxonomy 225X00000X
1201 MAIN ST, Union Grove, WI 53182

Other Names 1

Doing Business AsAthletico Physical Therapy

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Physical Therapist
1201 MAIN ST
UNION GROVE, WI 53182
Physical Therapist
1201 MAIN ST
UNION GROVE, WI 53182
Physical Therapist
1201 MAIN ST
UNION GROVE, WI 53182
Physical Therapist
1201 MAIN ST
UNION GROVE, WI 53182
Physical Therapist
1201 MAIN ST
UNION GROVE, WI 53182
Physical Therapist
1201 MAIN ST
UNION GROVE, WI 53182
Physical Therapist
1201 MAIN ST
UNION GROVE, WI 53182
Clinic/Center
1201 MAIN ST
UNION GROVE, WI 53182
Physical Therapist
1201 MAIN ST
UNION GROVE, WI 53182
Physical Therapist
1201 MAIN ST
UNION GROVE, WI 53182

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417455528, enumerated as an "organization" on January 24, 2018.

The provider is located at 1201 MAIN ST UNION GROVE, WI 53182 and the phone number is (262) 878-9602.

Clinic/Center with taxonomy code 261Q00000X.