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ATHLETICO LTD
NPI 1851159115
Clinic/Center in Grand Blanc, MI

Active since March 11, 2024
12720 S SAGINAW ST STE E-2, GRAND BLANC, MI 48439(810) 771-5600(810) 498-0100 Get Directions Write a Review

NPPES record last updated: March 11, 2024. 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 1851159115) is a healthcare organization registered as a clinic/center in Grand Blanc, Michigan and active in the NPI registry since March 2024. The organization lists Tasheda Broughton, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1851159115
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameATHLETICO LTD
Location Address12720 S SAGINAW ST STE E-2Grand Blanc, MI 48439-1831
Mailing Address2122 York Rd Ste 300Oak Brook, IL 60523-1925 · (630) 575-1980
Phone(810) 771-5600
Fax(810) 498-0100
Organization SubpartNo
Authorized OfficialTasheda BroughtonCredentialing Manager · (252) 248-3313
Enumeration DateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
✔ NPI 1851159115 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
12720 S SAGINAW ST STE E-2, Grand Blanc, MI 48439
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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 1851159115. It was assigned to this organization in the NPPES registry on March 11, 2024.

Where is Athletico Ltd located?

Athletico Ltd is located at 12720 S Saginaw St Ste E-2, Grand Blanc, MI 48439. The listed phone number is (810) 771-5600.

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 March 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.