ATHLETICO, LTD
NPI 1871223610
Clinic/Center in Pontotoc, MS

Active since June 14, 2022
111 HIGHWAY 15 S, PONTOTOC, MS 38863(662) 586-2444(662) 489-8970 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Athletico, Ltd NPPES

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

ATHLETICO, LTD (NPI 1871223610), doing business as Athletico Physical Therapy, is a healthcare organization registered as a clinic/center in Pontotoc, Mississippi and active in the NPI registry since June 2022. The organization lists Juana Granados, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1871223610
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameATHLETICO, LTD
Location Address111 HIGHWAY 15 SPontotoc, MS 38863-2628
Mailing Address2122 York Rd Ste 300Oak Brook, IL 60523-1925 · (630) 575-1980 · Fax (630) 928-5080
Fax(662) 489-8970
Organization SubpartNo
Authorized OfficialJuana GranadosCredentialing Manager · (630) 575-1980
Enumeration DateJune 14, 2022
NPPES CertifiedJune 14, 2022
NPI 1871223610 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
111 HIGHWAY 15 S, Pontotoc, MS 38863

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 3

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

Physical Therapist
111 HIGHWAY 15 S
PONTOTOC, MS 38863
Physical Therapist
111 HIGHWAY 15 S
PONTOTOC, MS 38863
Physical Therapist
111 HIGHWAY 15 S
PONTOTOC, MS 38863

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 1871223610. It was assigned to this organization in the NPPES registry on June 14, 2022. The provider is doing business as Athletico Physical Therapy.

Where is Athletico, Ltd located?

Athletico, Ltd is located at 111 Highway 15 S, Pontotoc, MS 38863. The listed phone number is (662) 586-2444.

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 June 14, 2022. 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.