ATHLETICO PHYSICAL THERAPY - NPI 1417494048 - Clinic/Center in Adrian, MI

Q: What is Athletico Ltd's NPI number?

The NPI number for Athletico Ltd is 1417494048. It was assigned to this organization in the NPPES registry on January 20, 2017. The provider is doing business as Athletico Physical Therapy.

Q: What is Athletico Ltd's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Athletico Ltd was last updated on March 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Athletico Physical Therapy NPPES

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

ATHLETICO PHYSICAL THERAPY (NPI 1417494048) is a healthcare organization registered as a clinic/center in Adrian, Michigan and active in the NPI registry since January 2017. The organization lists Juana Granados, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1417494048

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameATHLETICO LTD

Location Address110 S MADISON STAdrian, MI 49221-2518

Mailing Address600 Oakmont Ln Ste 600cWestmont, IL 60559-5548 · (630) 575-6200

Phone(517) 264-6141

Fax(517) 263-5786

Organization SubpartNo

Authorized OfficialJuana GranadosCredentialing Manager · (630) 575-1980

Enumeration DateJanuary 20, 2017

Last NPPES UpdateMarch 9, 20202 updates tracked since enumeration

NPPES CertifiedMarch 9, 2020

✔ NPI 1417494048 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

110 S MADISON ST, Adrian, MI 49221

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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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW ALAN BORUCKI

Specialist/Technologist (Athletic Trainer)