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ATHLETICO PHYSICAL THERAPY
NPI 1467949040
Clinic/Center in Cape Girardeau, MO

Active since April 18, 2018
2136 WILLIAM ST STE 115, CAPE GIRARDEAU, MO 63703(573) 826-4033(573) 824-7075 Get Directions Write a Review

NPPES record last updated: April 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Athletico Physical Therapy NPPES

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

ATHLETICO PHYSICAL THERAPY (NPI 1467949040) is a healthcare organization registered as a clinic/center in Cape Girardeau, Missouri and active in the NPI registry since April 2018. The organization lists Juana Granados, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1467949040
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePROREHAB PC
Location Address2136 WILLIAM ST STE 115Cape Girardeau, MO 63703-5830
Mailing Address600 Oakmont Ln Ste 600cWestmont, IL 60559-5548 · (630) 575-6200
Phone(573) 826-4033
Fax(573) 824-7075
Organization SubpartNo
Authorized OfficialJuana GranadosCredentialing Manager · (630) 575-1980
Enumeration DateApril 18, 2018
✔ NPI 1467949040 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
2136 WILLIAM ST STE 115, Cape Girardeau, MO 63703
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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

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

SPENCER MICHAEL BRAGG
Physical Therapy Assistant
2136 WILLIAM ST STE 115
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 826-4033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prorehab PC's NPI number?

The NPI number for Prorehab PC is 1467949040. It was assigned to this organization in the NPPES registry on April 18, 2018. The provider is doing business as Athletico Physical Therapy.

Where is Prorehab PC located?

Prorehab PC is located at 2136 William St Ste 115, Cape Girardeau, MO 63703. The listed phone number is (573) 826-4033.

What is Prorehab PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Prorehab PC was last updated on April 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.