ATHLETICO LTD
NPI 1790388163
Clinic/Center in Saint Louis, MO

Active since November 18, 2020
5201 MID AMERICA PLZ STE 2600, SAINT LOUIS, MO 63129(314) 487-7000(314) 487-7001 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center

About ATHLETICO LTD

This page provides the complete NPI Profile along with additional information for Athletico Ltd, a provider established in Saint Louis, Missouri operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1790388163 assigned on November 2020. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Athletico Ltd operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Juana Granados (Credentialing Manager)

NPI
1790388163 Verify this NPI
Provider Name
ATHLETICO LTD
Entity Type
Organization
Location Address
5201 MID AMERICA PLZ STE 2600 SAINT LOUIS, MO 63129
Location Phone
(314) 487-7000
Location Fax
(314) 487-7001
Mailing Address
600 OAKMONT LN STE 600C WESTMONT, IL 60559
Mailing Phone
(630) 575-6250
Mailing Fax
(630) 575-7450
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-18-2020
Last Update Date
11-18-2020
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
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).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

 
2225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JUANA GRANADOS

Authorized Official Title
CREDENTIALING MANAGER
Authorized Official Phone
(630) 575-1980

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Occupational Therapist
5201 MID AMERICA PLZ STE 2600
SAINT LOUIS, MO 63129
Occupational Therapist
5201 MID AMERICA PLZ STE 2600
SAINT LOUIS, MO 63129
Occupational Therapist
5201 MID AMERICA PLZ STE 2600
SAINT LOUIS, MO 63129
Occupational Therapist
5201 MID AMERICA PLZ STE 2600
SAINT LOUIS, MO 63129

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790388163, enumerated as an "organization" on November 18, 2020.

The provider is located at 5201 MID AMERICA PLZ STE 2600 SAINT LOUIS, MO 63129 and the phone number is (314) 487-7000.

Clinic/Center with taxonomy code 261Q00000X.