Organization Active NPI

Athletico, LTD

Doing business as Athletico Physical Therapy

  • Clinic/Center
  • Schererville, IN
National Provider Identifier
1689974131
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ATHLETICO, LTD
Doing business as
Athletico Physical Therapy
Practice address
1505 US Highway 41 Ste A20
Schererville, IN 46375-1394
Phone
(219) 322-5560
Fax
(219) 322-1549
NPI assigned
Nov 1, 2010
Last updated
May 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Physical Therapist 225100000X
Occupational Therapist 225X00000X

Addresses

Primary practice location

1505 US Highway 41 Ste A20
Schererville, IN 46375-1394

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
M100038388OtherINMEDICARE PTAN

Other names 1

  • Athletico Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110309000231 IN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4789602681 Receives reassigned benefits from 238 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Locations

533 S Landmark Ave
#A
Bloomington, IN 47403
Phone (812) 668-1880

12505 Old Meridian St
Ste 150
Carmel, IN 46032
Phone (317) 819-9500

5960 Stellhorn Rd
Fort Wayne, IN 46815
Phone (260) 209-1337

15 E Market St
Indianapolis, IN 46204
Phone (317) 423-0222

1114 E Commercial Ave
Lowell, IN 46356
Phone (219) 690-1048

10081 Wicker Ave
Unit 4
Saint John, IN 46373
Phone (219) 627-6445

1505 US Highway 41
Ste A20
Schererville, IN 46375
Phone (219) 322-5560

21 US Highway 41
Schererville, IN 46375
Phone (219) 803-3880

516 Wabash Ave
Terre Haute, IN 47807
Phone (812) 645-7665

1044 Sagamore Pkwy W
Unit A
West Lafayette, IN 47906
Phone (765) 250-4445

Practitioners & affiliated clinicians

Practitioners 116

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.

View all 116

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1689974131",
    "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": "1505 US HIGHWAY 41 STE A20",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751394",
            "telephone_number": "219-322-5560",
            "fax_number": "219-322-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETICO, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "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": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "M100038388",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athletico Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Schererville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.