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Athletico LTD

Organization Active NPI Clinic/Center · Commerce Township, MI

NPI 1003563263 · NPPES record last updated Jul 2, 2025

Key facts

NPI
1003563263
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
Legal business name
ATHLETICO LTD
Practice address
1749 Haggerty Hwy
Commerce Township, MI 48390-2857
Phone
(248) 987-8947
Fax
(248) 653-6695
NPI assigned
Mar 8, 2022
Organization subpart
No

Authorized official

Name
Juana Granados
Title
Credentialing Manager
Phone
(630) 575-1980

Corporate family (same tax ID) 12

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

  • Andrea Aliseo, DPT Physical Therapist · Ypsilanti, MI · NPI 1821539966
    NPD PHYSICAL THERAPIST
  • Bo Jay Vechazone, PT Physical Therapist · Commerce Township, MI · NPI 1366518839
    NPD PHYSICAL THERAPIST

National Provider Directory

Tax ID family
Athleticoltd (293 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225100000X
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225X00000X
Clinic/Center 261Q00000X Yes

Addresses

Primary practice location

1749 Haggerty Hwy
Commerce Township, MI 48390-2857

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6200

Other names

  • Athletico Physical Therapy Doing business as

Other providers in Commerce Township, MI

All providers in Commerce Township, MI · Clinic/Center in Michigan

Sources for this page

Verify at the official NPI Registry.