ATHLETICO LTD
NPI 1518697358
Clinic/Center in New Albany, MS

Q: What is Athletico Ltd's NPI number?

The NPI number for Athletico Ltd is 1518697358. It was assigned to this organization in the NPPES registry on June 14, 2022. 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 June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 14, 2022

206B OXFORD RD, NEW ALBANY, MS 38652(662) 534-4445(662) 534-9449 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Athletico Ltd NPPES

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

ATHLETICO LTD (NPI 1518697358), doing business as Athletico Physical Therapy, is a healthcare organization registered as a clinic/center in New Albany, Mississippi and active in the NPI registry since June 2022. The organization lists Juana Granados, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1518697358

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameATHLETICO LTD

Location Address206B OXFORD RDNew Albany, MS 38652-3115

Mailing Address2122 York Rd Ste 300Oak Brook, IL 60523-1925 · (630) 575-1980 · Fax (630) 928-5080

Phone(662) 534-4445

Fax(662) 534-9449

Organization SubpartNo

Authorized OfficialJuana GranadosCredentialing Manager · (630) 575-1980

Enumeration DateJune 14, 2022

NPPES CertifiedFebruary 3, 2022

✔ NPI 1518697358 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

206B OXFORD RD, New Albany, MS 38652

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Other Names 1

Doing Business AsAthletico Physical Therapy

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

SAM JACKSON DUNNAM

Physical Therapist (Orthopedic)