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ATHLETICO PHYSICAL THERAPY
NPI 1801396619
Clinic/Center in Bayside, WI

Active since February 19, 2018
326 W BROWN DEER RD, BAYSIDE, WI 53217(414) 224-7834(414) 224-7835 Get Directions Write a Review

NPPES record last updated: February 19, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Athletico Physical Therapy NPPES

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

ATHLETICO PHYSICAL THERAPY (NPI 1801396619) is a healthcare organization registered as a clinic/center in Bayside, Wisconsin and active in the NPI registry since February 2018. The organization lists Juana Granados, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1801396619
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSPORTS PHYSICAL THERAPY & REHAB SPECIALIST, S.C.
Location Address326 W BROWN DEER RDBayside, WI 53217-2319
Mailing Address600 Oakmont Ln Ste 600cWestmont, IL 60559-5548 · (630) 575-1980 · Fax (630) 928-5080
Phone(414) 224-7834
Fax(414) 224-7835
Organization SubpartNo
Authorized OfficialJuana GranadosCredentialing Manager · (630) 575-1980
Enumeration DateFebruary 19, 2018
✔ NPI 1801396619 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
326 W BROWN DEER RD, Bayside, WI 53217
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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

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 Sports Physical Therapy & Rehab Specialist, S.C.'s NPI number?

The NPI number for Sports Physical Therapy & Rehab Specialist, S.C. is 1801396619. It was assigned to this organization in the NPPES registry on February 19, 2018. The provider is doing business as Athletico Physical Therapy.

Where is Sports Physical Therapy & Rehab Specialist, S.C. located?

Sports Physical Therapy & Rehab Specialist, S.C. is located at 326 W Brown Deer Rd, Bayside, WI 53217. The listed phone number is (414) 224-7834.

What is Sports Physical Therapy & Rehab Specialist, S.C.'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 Sports Physical Therapy & Rehab Specialist, S.C. was last updated on February 19, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.