ATHLETICO LTD - NPI 1619570074 - Clinic/Center in Edwardsville, IL

Q: What is Athletico Ltd's NPI number?

The NPI number for Athletico Ltd is 1619570074. It was assigned to this organization in the NPPES registry on November 18, 2020. 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 November 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Athletico Ltd NPPES

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

ATHLETICO LTD (NPI 1619570074), doing business as Athletico Physical Therapy, is a healthcare organization registered as a clinic/center in Edwardsville, Illinois and active in the NPI registry since November 2020. The organization lists Juana Granados, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1619570074

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameATHLETICO LTD

Location Address1047 CENTURY DREdwardsville, IL 62025-3772

Mailing Address600 Oakmont Ln Ste 600cWestmont, IL 60559-5548 · (630) 575-6250 · Fax (630) 575-7450

Phone(618) 307-3434

Fax(618) 307-3435

Organization SubpartNo

Authorized OfficialJuana GranadosCredentialing Manager · (630) 575-1980

Enumeration DateNovember 18, 2020

NPPES CertifiedNovember 18, 2020

✔ NPI 1619570074 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

1047 CENTURY DR, Edwardsville, IL 62025

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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 11

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

JENNIFER R HAUSCHILD MS, OTR/L

Occupational Therapist