ATHLETICO PHYSICAL THERAPY – NPI #1891295614
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 PHYSICAL THERAPY is an AHC clinic located in BROOKFIELD, WI. NPPES has assigned the NPI number 1891295614 to ATHLETICO PHYSICAL THERAPY on February 19, 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 SPORTS PHYSICAL THERAPY & REHAB SPECIALIST, S.C.. 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 PHYSICAL THERAPY below.

NPI Profile for
SPORTS PHYSICAL THERAPY & REHAB SPECIALIST, S.C.

NPI Number
1891295614
Enumeration Date

(more than 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
SPORTS PHYSICAL THERAPY & REHAB SPECIALIST, S.C.
Doing Business As (dba): ATHLETICO PHYSICAL THERAPY
Primary location
17495 W CAPITOL DR STE L
BROOKFIELD, WI 53045-2059
Phone: (262) 879-0010 Fax: (262) 879-9781
Mailing address
600 OAKMONT LN STE 600C
WESTMONT, IL 60559-5548
Phone: (630) 575-1980 Fax: (630) 928-5080
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.