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ATHLETICO LTD
NPI 1891511069
Clinic/Center in Louisville, KY

Active since December 03, 2024
12935 SHELBYVILLE RD STE 107, LOUISVILLE, KY 40243(502) 792-8900(502) 537-6378 Get Directions Write a Review

NPPES record last updated: December 3, 2024. 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 1891511069) is a healthcare organization registered as a clinic/center in Louisville, Kentucky and active in the NPI registry since December 2024. The organization lists Tasheda Broughton, Manager, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1891511069
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameATHLETICO LTD
Location Address12935 SHELBYVILLE RD STE 107Louisville, KY 40243-1592
Mailing Address2122 York Rd Ste 300Oak Brook, IL 60523-1925 · (252) 248-3313 · Fax (410) 678-4878
Phone(502) 792-8900
Fax(502) 537-6378
Organization SubpartNo
Authorized OfficialTasheda BroughtonManager, Credentialing · (252) 248-3313
Enumeration DateDecember 3, 2024
NPPES CertifiedDecember 3, 2024
✔ NPI 1891511069 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
12935 SHELBYVILLE RD STE 107, Louisville, KY 40243
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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

Other Providers at the Same Location NPPES

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

LYDIA MARTIN DPT
Physical Therapist
12935 SHELBYVILLE RD STE 107
LOUISVILLE, KY 40243
Jefferson County (502) 792-8900

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 1891511069. It was assigned to this organization in the NPPES registry on December 3, 2024.

Where is Athletico Ltd located?

Athletico Ltd is located at 12935 Shelbyville Rd Ste 107, Louisville, KY 40243. The listed phone number is (502) 792-8900.

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 December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.