NPIMap

Organization Active NPI

Athletico LTD

Doing business as Athletico Physical Therapy

  • Clinic/Center
  • Sioux Falls, SD
National Provider Identifier
1801348263
Registry record updated May 14, 2019
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
815 S Minnesota Ave
Sioux Falls, SD 57104-4828
Phone
(605) 231-5586
Fax
(605) 231-5587
NPI assigned
Nov 1, 2016
Last updated
May 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

815 S Minnesota Ave
Sioux Falls, SD 57104-4828

Mailing address

600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-1980

Other names 1

  • Athletico Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Athleticoltd293 organizations share this tax ID, including this one

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • Athletico LTD

    dba Athletico Physical Therapy

    • Physical Therapist
    • Arlington HTS, IL
    • NPI 1497961213

    Member Of

    NPD member

Locations

5 Teamquest Way
Clear Lake, IA 50428
Phone (641) 357-1003

13375 University Ave
Ste 300
Clive, IA 50325
Phone (515) 327-1454

600 W Taylor St
Ste 2A
Creston, IA 50801
Phone (641) 316-2089

226 Highway 69 N
Forest City, IA 50436
Phone (641) 585-1550

605 E J St
Ste 400
Forest City, IA 50436
Phone (641) 585-1550

1451 SE Gateway Cir
Ste 500
Grimes, IA 50111
Phone (515) 986-5190

1541 SE 3rd St
Ste 400
Grimes, IA 50111
Phone (515) 986-5190

503 Westbury Dr
Ste 3
Iowa City, IA 52245
Phone (319) 337-4325

953 E Main St
Manchester, IA 52057
Phone (319) 393-3710

250 S Crescent Dr
Ste L10
Mason City, IA 50401
Phone (641) 422-6995

890 SE Olson Dr
Waukee, IA 50263
Phone (515) 325-8739

155 Cedar River Pkwy
Ste 101
Waverly, IA 50677
Phone (319) 483-0002

815 S Minnesota Ave
Sioux Falls, SD 57104
Phone (605) 231-5586

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1801348263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAKMONT LN STE 600C",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595548",
            "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": "815 S MINNESOTA AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571044828",
            "telephone_number": "605-231-5586",
            "fax_number": "605-231-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETICO LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2019-05-14",
        "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": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athletico Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Athletico Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.