ATHLETICO PHYSICAL THERAPY – NPI #1639664857
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 GRANDVILLE, MI. NPPES has assigned the NPI number 1639664857 to ATHLETICO PHYSICAL THERAPY on June 29, 2018. 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. 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 6 years ago on Mar 09, 2020. 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
1639664857
Enumeration Date

(about 8 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
Primary location
3819 RIVERTOWN PKWY SW STE 100
GRANDVILLE, MI 49418
Phone: (616) 818-0018 Fax: (616) 278-1451
Mailing address
600 OAKMONT LN STE 600C
WESTMONT, IL 60559-5548
Phone: (630) 575-6200 Fax: (630) 928-5080
Organization Subpart
No
Authorized Official
JUANA GRANADOS
CREDENTIALING MANAGER
Phone: (630) 575-1980
Updated
Certification Date
Mar 09, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.