ATHLETICO PHYSICAL THERAPY – NPI #1306493507
Clinic/Center

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).

ATHLETICO PHYSICAL THERAPY is an AHC clinic located in SAINT JOHN, IN. NPPES has assigned the NPI number 1306493507 to ATHLETICO PHYSICAL THERAPY on August 22, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ATHLETICO PHYSICAL THERAPY” is a dba name, the actual legal business name for this organization is ATHLETICO LTD. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 7 years ago on Aug 28, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ATHLETICO PHYSICAL THERAPY below.

NPI Profile for
ATHLETICO LTD

NPI Number
1306493507
Enumeration Date

(about 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ATHLETICO LTD
Doing Business As (dba): ATHLETICO PHYSICAL THERAPY
Other name(s)
All associated names:
Doing Business As (dba)
Athleico Physical Therapy
Doing Business As (dba)
Athletico Physical Therapy
Primary location
10081 WICKER AVE #4
SAINT JOHN, IN 46373
Phone: (219) 627-6445 Fax: (219) 351-1803
Mailing address
600 OAKMONT LN STE 600C
WESTMONT, IL 60559-5548
Phone: (630) 575-6250 Fax: (630) 575-7450
Organization Subpart
No
Authorized Official
JUANA GRANADOS
CREDENTIALING MANAGER
Phone: (630) 575-1980
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
225X00000X
- Occupational Therapist
225100000X
- Physical Therapist

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.