ATHLETICO PHYSICAL THERAPY
NPI 1588339402
Clinic/Center in Lexington, KY
About Athletico Physical Therapy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ATHLETICO PHYSICAL THERAPY (NPI 1588339402) is a healthcare organization registered as a clinic/center in Lexington, Kentucky and active in the NPI registry since August 2021. The organization lists Tasheda Broughton, Manager, Credentialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Athletico Physical Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Athletico Physical Therapy, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (16)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1588339402. It was assigned to this organization in the NPPES registry on August 12, 2021. The provider is doing business as Athletico Physical Therapy.
Where is Athletico, Ltd located?
Athletico, Ltd is located at 630 Euclid Ave Ste 140, Lexington, KY 40502. The listed phone number is (859) 303-9980.
What is Athletico, Ltd's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Athletico, Ltd enrolled in Medicare?
Yes. Athletico, Ltd is registered in the Medicare PECOS enrollment system.
When is Athletico, Ltd's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Kentucky, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Athletico, Ltd?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 2 Medicare specialties reassign their Medicare billing to Athletico, Ltd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (15) and Occupational Therapist in Private Practice (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Athletico, Ltd accept?
Health plans from Anthem Blue Cross and Blue Shield list Athletico, Ltd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Athletico, Ltd was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Athletico Physical Therapy · NPI 1588339402
Clinic/Center organization in Lexington, Kentucky. Organization record, active in the CMS NPPES registry since August 12, 2021.
## Identity
- **NPI:** 1588339402 (Entity type: Organization)
- **Enumerated:** August 12, 2021
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** Athletico, Ltd
- **Organization subpart:** No
- **Authorized official:** Tasheda Broughton, MANAGER, CREDENTIALING
## Practice location
- **Address:** 630 EUCLID AVE STE 140, Lexington, KY 40502-1997
- **Phone:** (859) 303-9980 · **Fax:** (859) 303-9830
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Kentucky, Physical/Occupational Therapy Group in Private Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 16 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (15), Occupational Therapist in Private Practice (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1588339402) · Data from the CMS NPPES public registry.