Active NPI
Athletico LTD
Doing business as Athletico Physical Therapy
- Clinic/Center
- Independence, MO
National Provider Identifier
1750032900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- ATHLETICO LTD
- Doing business as
- Athletico Physical Therapy
- Practice address
- 4600 S Noland Rd Ste a
Independence, MO 64055-4797 - Phone
- (816) 313-2220
- Fax
- (816) 897-2390
- NPI assigned
- Jan 10, 2022
- Last updated
- Jan 10, 2022
- 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
- Juana Granados
- Title
- Credentialing Manager
- Phone
- (630) 575-1980
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary | |
| Physical Therapist | 225100000X | NU | ||
| Occupational Therapist | 225X00000X | NU |
Addresses
Primary practice location
4600 S Noland Rd Ste a
Independence, MO 64055-4797
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-1980
Other names 1
- Athletico Physical Therapy
National Provider Directory
National Provider Directory- Tax ID family
- Athletico Physical Therapy
Organizations with this tax ID in the same state 18
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641772800000",
"number": "1750032900",
"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": "630-575-1980",
"fax_number": "630-928-5080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 S NOLAND RD STE A",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640554797",
"telephone_number": "816-313-2220",
"fax_number": "816-897-2390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATHLETICO LTD",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-10",
"last_updated": "2022-01-10",
"certification_date": "2022-01-10",
"status": "A",
"authorized_official_last_name": "GRANADOS",
"authorized_official_first_name": "JUANA",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "630-575-1980"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Athletico Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Independence, MO
- Alisa R Ash, M.D.
- Sarah Ann Ashby, PHARMD
- Ashley & Gray D.D.S.'S
- Aspire Institute of Rehabilitation & Research
- Associated Rehabilitation Services, Inc. (Associated Rehab of Missouri)
- Rebecca Von Atkinson
- Atlas Family Chiropractic
- Fnu Atta Ur Rehman, M.D
- Attention to Care, LLC
- Auburn Pharmacy, Inc. (Auburn Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.