Athletico LTD

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ATHLETICO LTD

Doing business as

Atheltico Physical Therapy

Practice address

2615 N Downer Ave
Milwaukee, WI 53211-4245

Phone

(414) 962-4400

Fax

(414) 662-5674

NPI assigned

Oct 23, 2009

Last updated

Apr 17, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Juana Granados

Title

Director, Credentialing

Phone

(630) 575-1980

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Atheltico Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Athletico LTD

  dba Athletico Physical Therapy

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1821085028

  O20100913000433

  Same enrollment

Locations

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Arnold, DPT

  • Physical Therapist
  • Muskego, WI
  • NPI 1144606021
  NPD
• Stephanie A Bandura, PT, DPT

  • Physical Therapist
  • Milwaukee, WI
  • NPI 1275103368
  NPD
• Ashley Kristina Baugher, PT

  • Physical Therapist
  • Menomonee Falls, WI
  • NPI 1811662067
  NPD
• Arielle Berman, PT, DPT, ATC

  • Physical Therapist
  • Deforest, WI
  • NPI 1629597505
  NPD
• Katherine Blaney, PT

  • Physical Therapist
  • Wauwatosa, WI
  • NPI 1720217276
  NPD
• Anastasia S Demco

  • Physical Therapist
  • Lake Geneva, WI
  • NPI 1558234336
  NPD
• Erika Eiesland, PT, DPT

  • Physical Therapist
  • Lake Geneva, WI
  • NPI 1750038097
  NPD
• Ashley D. Fauth

  • Physical Therapist
  • Twin Lakes, WI
  • NPI 1164778718
  NPD
• Ashley C Frey, PT, DPT

  • Physical Therapist
  • Mount Pleasant, WI
  • NPI 1720755952
  NPD
• Nina Gallichio, DPT

  • Physical Therapist
  • Wauwatosa, WI
  • NPI 1841082252
  NPD
• Shamshir K Kang, OTR/L

  • Occupational Therapist
  • Salem, WI
  • NPI 1205595600
  NPD
• Adam Robert Ketterhagen, PT DPT

  • Physical Therapist
  • Mount Pleasant, WI
  • NPI 1114273372
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1083940274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 N DOWNER AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114245",
            "telephone_number": "414-962-4400",
            "fax_number": "414-662-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETICO LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "GRANADOS",
        "authorized_official_first_name": "JUANA",
        "authorized_official_title_or_position": "DIRECTOR, CREDENTIALING",
        "authorized_official_telephone_number": "630-575-1980"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WI1760",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atheltico Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Atachd Transportation LLC
• Yasaman Ataei, MD
• Ehab Atallah, MD
• Athletic & Therapeutic Institute of Milwaukee, LLC (ATI Physical Therapy)
• Athletic and Therapeutic Institute of Milwaukee, LLC (ATI Physical Therapy)
• Sandy Sumingwa Atimama, PT
• Atk Home Care
• Atk Home Care LLC
• Betty Atkins
• Gwendolyn Y Atkins, LPN

• Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.