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ATHLETICO LTD
NPI 1558964924
Clinic/Center in Columbia, IL

Active since November 18, 2020
1050 ADMIRAL WEINEL BLVD, COLUMBIA, IL 62236(618) 693-3100(618) 281-4442 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Athletico Ltd NPPES

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

ATHLETICO LTD (NPI 1558964924), doing business as Athletico Physical Therapy, is a healthcare organization registered as a clinic/center in Columbia, Illinois and active in the NPI registry since November 2020. The organization lists Juana Granados, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1558964924
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameATHLETICO LTD
Location Address1050 ADMIRAL WEINEL BLVDColumbia, IL 62236-1988
Mailing Address600 Oakmont Ln Ste 600cWestmont, IL 60559-5548 · (630) 575-6250 · Fax (630) 575-7450
Phone(618) 693-3100
Fax(618) 281-4442
Organization SubpartNo
Authorized OfficialJuana GranadosCredentialing Manager · (630) 575-1980
Enumeration DateNovember 18, 2020
NPPES CertifiedNovember 18, 2020
✔ NPI 1558964924 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
1050 ADMIRAL WEINEL BLVD, Columbia, IL 62236
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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.

PROREHAB, PC
Physical Therapist
1050 ADMIRAL WEINEL BLVD
COLUMBIA, IL 62236
Monroe County (618) 693-3100
ZACHARY A SCHNIERS DPT
Student in an Organized Health Care Education/Training Program
1050 ADMIRAL WEINEL BLVD
COLUMBIA, IL 62236
Monroe County (618) 693-3100

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 1558964924. It was assigned to this organization in the NPPES registry on November 18, 2020. The provider is doing business as Athletico Physical Therapy.

Where is Athletico Ltd located?

Athletico Ltd is located at 1050 Admiral Weinel Blvd, Columbia, IL 62236. The listed phone number is (618) 693-3100.

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 November 18, 2020. 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.