NPIMap

Organization Active NPI

Athletico, LTD

Doing business as Athletico Physical Therapy

  • Physical Therapist
  • Flossmoor, IL
National Provider Identifier
1720445349
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
060005437 Issued in IL
Legal business name
ATHLETICO, LTD
Doing business as
Athletico Physical Therapy
Practice address
19801 Governors Hwy
Suite 100
Flossmoor, IL 60422-4362
Phone
(708) 647-1500
Fax
(708) 647-1800
NPI assigned
Jan 27, 2016
Last updated
Jan 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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 060005437 IL Primary

Addresses

Primary practice location

19801 Governors Hwy
Suite 100
Flossmoor, IL 60422-4362

Mailing address

19801 Governors Hwy
Suite 100
Flossmoor, IL 60422-4362
Phone (708) 647-1500

Other names 1

  • Athletico Physical 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 24

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

View all 24

Locations

19801 Governors Hwy
Ste 100
Flossmoor, IL 60422
Phone (708) 647-1500

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1720445349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19801 GOVERNORS HWY",
            "address_2": "SUITE 100",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604224362",
            "telephone_number": "708-647-1500",
            "fax_number": "708-647-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19801 GOVERNORS HWY",
            "address_2": "SUITE 100",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604224362",
            "telephone_number": "708-647-1500",
            "fax_number": "708-647-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETICO, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "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": "060005437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athletico Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flossmoor, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.