ATHLETICO LTD – NPI #1699378778
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).

Health Care Provider Taxonomy Code for Clinic/Center

ATHLETICO LTD is an AHC clinic located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1699378778 to ATHLETICO LTD on November 19, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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.

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 LTD below.

NPI Profile for
ATHLETICO LTD

NPI Number
1699378778
Enumeration Date

(more than 5 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
Primary location
107 CONCORD PLAZA
SAINT LOUIS, MO 63128
Phone: (314) 842-2990 Fax: (314) 842-5162
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
Certification Date
Nov 18, 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.