Active NPI
Athletico, LTD
Doing business as AthletiCo Sports Medicine and Physical Therapy
- Physical Therapist
- Gurnee, IL
National Provider Identifier
1720223373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- ATHLETICO, LTD
- Doing business as
- AthletiCo Sports Medicine and Physical Therapy
- Practice address
- 30 Tower CT
Suite a
Gurnee, IL 60031-3322 - Phone
- (847) 336-1520
- Fax
- (847) 336-1098
- NPI assigned
- Dec 11, 2008
- Last updated
- Dec 17, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
30 Tower CT
Suite a
Gurnee, IL 60031-3322
Mailing address
30 Tower CT
Suite a
Gurnee, IL 60031-3322
Phone (847) 336-1520
Other names 1
- AthletiCo Sports Medicine and Physical Therapy
National Provider Directory
National Provider DirectoryLocations
30 Tower Ct
Ste A
Gurnee, IL 60031
Phone (847) 336-1520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387238400000",
"number": "1720223373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 TOWER CT",
"address_2": "SUITE A",
"city": "GURNEE",
"state": "IL",
"postal_code": "600313322",
"telephone_number": "847-336-1520",
"fax_number": "847-336-1098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 TOWER CT",
"address_2": "SUITE A",
"city": "GURNEE",
"state": "IL",
"postal_code": "600313322",
"telephone_number": "847-336-1520",
"fax_number": "847-336-1098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATHLETICO, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-11",
"last_updated": "2013-12-17",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AthletiCo Sports Medicine and Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.