NPIMap

Organization Active NPI

Athletico LTD

Doing business as Athletico Sports Medicine and Physical Therapy

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1538375357
Registry record updated Aug 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070006079 Issued in IL
Legal business name
ATHLETICO LTD
Doing business as
Athletico Sports Medicine and Physical Therapy
Athletico Physical Therapy
Practice address
24 S Morgan St
Chicago, IL 60607-3668
Phone
(312) 421-7274
Fax
(312) 421-7289
NPI assigned
May 16, 2007
Last updated
Aug 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2017

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070006079 IL Primary

Addresses

Primary practice location

24 S Morgan St
Chicago, IL 60607-3668

Mailing address

625 Enterprise Dr
Oak Brook, IL 60523-8813

Other names 2

  • ATHLETICO SPORTS MEDICINE AND PHYSICAL THERAPY Doing business as
  • Athletico Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

24 S Morgan St
Chicago, IL 60607
Phone (312) 421-7274

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503532800000",
    "number": "1538375357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ENTERPRISE DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 S MORGAN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073668",
            "telephone_number": "312-421-7274",
            "fax_number": "312-421-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETICO LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2017-08-24",
        "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",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070006079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATHLETICO SPORTS MEDICINE AND PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Athletico Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; 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.