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ATHLETICO LTD
NPI 1689343857
Clinic/Center in Council Bluffs, IA

Active since September 10, 2021
3134 MANAWA CENTRE DR, COUNCIL BLUFFS, IA 51501(712) 308-8038(712) 524-1055 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Athletico Ltd NPPES

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

ATHLETICO LTD (NPI 1689343857), doing business as Athletico Physical Therapy, is a healthcare organization registered as a clinic/center in Council Bluffs, Iowa and active in the NPI registry since September 2021. The organization lists Juana Granados, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1689343857
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameATHLETICO LTD
Location Address3134 MANAWA CENTRE DRCouncil Bluffs, IA 51501-7690
Mailing Address2122 York Rd Ste 300Oak Brook, IL 60523-1925 · (630) 575-1980
Phone(712) 308-8038
Fax(712) 524-1055
Organization SubpartNo
Authorized OfficialJuana GranadosCredentialing Manager · (630) 575-1980
Enumeration DateSeptember 10, 2021
NPPES CertifiedSeptember 10, 2021
✔ NPI 1689343857 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
3134 MANAWA CENTRE DR, Council Bluffs, IA 51501
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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 2

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

JESSICA SAGE BOLDENOW
Physical Therapist
3134 MANAWA CENTRE DR
COUNCIL BLUFFS, IA 51501
Pottawattamie County (712) 308-8038
BARRY EHLERS PT, DPT
Physical Therapist
3134 MANAWA CENTRE DR
COUNCIL BLUFFS, IA 51501
Pottawattamie County (712) 308-8038

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 1689343857. It was assigned to this organization in the NPPES registry on September 10, 2021. The provider is doing business as Athletico Physical Therapy.

Where is Athletico Ltd located?

Athletico Ltd is located at 3134 Manawa Centre Dr, Council Bluffs, IA 51501. The listed phone number is (712) 308-8038.

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 September 10, 2021. 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.