NPIMap

Organization Active NPI

Athletico LTD

Doing business as Athletico Phyiscal Therapy

  • Physical Therapist
  • Lake Forest, IL
National Provider Identifier
1093059446
Registry record updated Nov 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ATHLETICO LTD
Doing business as
Athletico Phyiscal Therapy
Practice address
225 E Deerpath
Suite 130
Lake Forest, IL 60045-1952
Phone
(847) 482-1433
Fax
(847) 482-1483
NPI assigned
Nov 23, 2012
Last updated
Nov 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2012

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

Authorized official

Name
Geri Cook
Title
Director of Clinical Services
Phone
(630) 575-1940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X IL Primary

Addresses

Primary practice location

225 E Deerpath
Suite 130
Lake Forest, IL 60045-1952

Mailing address

225 E Deerpath
Suite 130
Lake Forest, IL 60045-1952
Phone (847) 482-1433

Other names 1

  • ATHLETICO PHYISCAL THERAPY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Athletico Physical Therapy293 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 22

Locations

225 E Deerpath
Ste 130
Lake Forest, IL 60045
Phone (847) 482-1433

NPI Registry JSON

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

{
    "created_epoch": "1353628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353628800000",
    "number": "1093059446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E DEERPATH",
            "address_2": "SUITE 130",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451952",
            "telephone_number": "847-482-1433",
            "fax_number": "847-482-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E DEERPATH",
            "address_2": "SUITE 130",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451952",
            "telephone_number": "847-482-1433",
            "fax_number": "847-482-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETICO LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-23",
        "last_updated": "2012-11-23",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "GERI",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "630-575-1940"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATHLETICO PHYISCAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.