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ATHLETICO LTD
NPI 1801513973
Clinic/Center in Grand Rapids, MI

Active since October 20, 2022
655 KENMOOR AVE SE STE 103, GRAND RAPIDS, MI 49546(616) 315-0100(614) 410-7790 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Athletico Ltd NPPES

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

ATHLETICO LTD (NPI 1801513973) is a healthcare organization registered as a clinic/center in Grand Rapids, Michigan and active in the NPI registry since October 2022. The organization lists Juana Granados, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1801513973
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameATHLETICO LTD
Location Address655 KENMOOR AVE SE STE 103Grand Rapids, MI 49546-8622
Mailing Address2122 York Rd Ste 300Oak Brook, IL 60523-1925 · (630) 575-6200
Phone(616) 315-0100
Fax(614) 410-7790
Organization SubpartNo
Authorized OfficialJuana GranadosCredentialing Manager · (630) 575-1980
Enumeration DateOctober 20, 2022
NPPES CertifiedOctober 13, 2022
✔ NPI 1801513973 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
655 KENMOOR AVE SE STE 103, Grand Rapids, MI 49546
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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 Athletico Ltd's NPI number?

The NPI number for Athletico Ltd is 1801513973. It was assigned to this organization in the NPPES registry on October 20, 2022.

Where is Athletico Ltd located?

Athletico Ltd is located at 655 Kenmoor Ave SE Ste 103, Grand Rapids, MI 49546. The listed phone number is (616) 315-0100.

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 October 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.