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ATHLETICO PHYSICAL THERAPY
NPI 1477087617
Clinic/Center in Grand Rapids, MI

Active since April 14, 2017
6333 KALAMAZOO AVE SE, STE 600, GRAND RAPIDS, MI 49508(616) 649-1577(616) 710-3019 Get Directions Write a Review

NPPES record last updated: March 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2020, Apr 14, 2017 (2 updates tracked since 2017).

About Athletico Physical Therapy NPPES

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

ATHLETICO PHYSICAL THERAPY (NPI 1477087617) is a healthcare organization registered as a clinic/center in Grand Rapids, Michigan and active in the NPI registry since April 2017. The organization lists Juana Granados, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1477087617
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameATHLETICO LTD
Location Address6333 KALAMAZOO AVE SE, STE 600Grand Rapids, MI 49508-7890
Mailing Address600 Oakmont Ln Ste 600cWestmont, IL 60559-5548 · (630) 575-1980 · Fax (630) 928-5080
Phone(616) 649-1577
Fax(616) 710-3019
Organization SubpartNo
Authorized OfficialJuana GranadosCredentialing Manager · (630) 575-1980
Enumeration DateApril 14, 2017
Last NPPES UpdateMarch 9, 20202 updates tracked since enumeration
NPPES CertifiedMarch 9, 2020
✔ NPI 1477087617 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
6333 KALAMAZOO AVE SE, Grand Rapids, MI 49508
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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 2

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

MEGAN VANDERHOOF OTRL
Occupational Therapist
6333 KALAMAZOO AVE SE
KENTWOOD, MI 49508
Kent County (616) 649-1577
DR. MEGHAN LEE GOODRICH D.C.
Chiropractor
6333 KALAMAZOO AVE SE
GRAND RAPIDS, MI 49508
Kent County (616) 439-9705

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 Athletico Ltd's NPI number?

The NPI number for Athletico Ltd is 1477087617. It was assigned to this organization in the NPPES registry on April 14, 2017. The provider is doing business as Athletico Physical Therapy.

Where is Athletico Ltd located?

Athletico Ltd is located at 6333 Kalamazoo Ave SE Ste 600, Grand Rapids, MI 49508. The listed phone number is (616) 649-1577.

What is Athletico Ltd'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 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.