1. Home
  2. Directory
  3. Michigan
  4. Grosse Pointe Woods
  5. Clinic Center
  6. NPI Profile

ATHLETICO LTD
NPI 1477229318
Clinic/Center in Grosse Pointe Woods, MI

Active since August 20, 2021
20873 MACK AVE, GROSSE POINTE WOODS, MI 48236(313) 466-7884(313) 464-0001 Get Directions Write a Review

NPPES record last updated: August 20, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Athletico Ltd NPPES

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

ATHLETICO LTD (NPI 1477229318) is a healthcare organization registered as a clinic/center in Grosse Pointe Woods, Michigan and active in the NPI registry since August 2021. The organization lists Juana Granados, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1477229318
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameATHLETICO LTD
Location Address20873 MACK AVEGrosse Pointe Woods, MI 48236
Mailing Address2122 York Rd Ste 300Oak Brook, IL 60523-1925 · (630) 575-6200
Phone(313) 466-7884
Fax(313) 464-0001
Organization SubpartNo
Authorized OfficialJuana GranadosCredentialing Manager · (630) 575-1980
Enumeration DateAugust 20, 2021
NPPES CertifiedJuly 29, 2021
✔ NPI 1477229318 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
20873 MACK AVE, Grosse Pointe Woods, MI 48236
Open in Google Maps ↗

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.

JAKE PAUL
Physical Therapist
20873 MACK AVE
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 466-7884

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 1477229318. It was assigned to this organization in the NPPES registry on August 20, 2021.

Where is Athletico Ltd located?

Athletico Ltd is located at 20873 Mack Ave, Grosse Pointe Woods, MI 48236. The listed phone number is (313) 466-7884.

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 August 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.