Organization Active NPI

Athletico LTD

Doing business as Athletico Physical Therapy

  • Physical Therapist
  • Oak Brook, IL
National Provider Identifier
1821085028
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ATHLETICO LTD
Doing business as
Athletico Physical Therapy
Practice address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone
(630) 575-1980
Fax
(630) 928-5080
NPI assigned
Oct 3, 2005
Last updated
Aug 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Juana L Granados
Title
Credentialing Manager
Phone
(630) 575-1980

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Rehabilitation Clinic/Center 261QR0400X IL
Physical Therapist 225100000X IL Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

2122 York Rd Ste 300
Oak Brook, IL 60523-1925

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-1980

Other identifiers 1

IdentifierTypeStateIssuer
0001618843OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • Athletico Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IN, IL, IA, KS, MO, TX, AZ, SD, MI, OH11 enrollments

Enrollment records 11

Enrollment IDStateProvider typePAC IDDetails
O20100913000433 WI Part B Supplier - Clinic/Group Practice 4789602681 Receives reassigned benefits from 105 practitioners
1 other NPI on this enrollment
Practice locations: Mount Pleasant, WI; Mukwonago, WI; Muskego, WI; Neenah, WI; New Berlin, WI; Salem, WI; South Milwaukee, WI; Twin Lakes, WI…
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
O20120612000342 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4789602681 Receives reassigned benefits from 1,289 practitioners
O20150820012358 IA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4789602681 Receives reassigned benefits from 179 practitioners
Practice locations: Forest City, IA; Garner, IA; Grimes, IA; Indianola, IA; Iowa City, IA; Johnston, IA; Marion, IA; Mason City, IA…
O20170914002697 KS Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4789602681 Receives reassigned benefits from 57 practitioners
Practice locations: Lawrence, KS; Leawood, KS; Lenexa, KS; Mission, KS; Olathe, KS; Overland Park, KS; Prairie Village, KS; Shawnee, KS
O20171211002357 MO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4789602681 Receives reassigned benefits from 264 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Saint Louis, MO; Saint Charles, MO; Rolla, MO; Raymore, MO; Perryville, MO; Kansas City, MO; O Fallon, MO; Liberty, MO…
O20190128000322 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4789602681 Receives reassigned benefits from 135 practitioners
1 other NPI on this enrollment
Practice locations: Greenville, TX; Irving, TX; Lewisville, TX; Mansfield, TX; McKinney, TX; Plano, TX; Prosper, TX; Richardson, TX…
O20190204002630 AZ Part B Supplier - Clinic/Group Practice 4789602681 Receives reassigned benefits from 87 practitioners
Practice locations: Gilbert, AZ; Phoenix, AZ; Queen Creek, AZ; Scottsdale, AZ; Surprise, AZ; Tempe, AZ; Tucson, AZ; Avondale, AZ…
O20190430000655 SD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4789602681 Receives reassigned benefits from 6 practitioners
Practice locations: Vermillion, SD; Sioux Falls, SD
O20191218001701 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4789602681 Receives reassigned benefits from 164 practitioners
O20200526001453 OH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4789602681 Receives reassigned benefits from 131 practitioners
Practice locations: Holland, OH; Mason, OH; Maumee, OH; Miamisburg, OH; Middletown, OH; New Albany, OH; Newark, OH; Norton, OH…

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory

Locations (25 of 162)

3145 N Dysart Rd
Ste 109
Avondale, AZ 85392
Phone (623) 522-8491

1775 N Verrado Way
Ste 102
Buckeye, AZ 85396
Phone (602) 837-4500

2051 W Chandler Blvd
Ste 3
Chandler, AZ 85224
Phone (480) 566-8150

4929 W Ray Rd
Chandler, AZ 85226

4929 W Ray Rd
Ste 4
Chandler, AZ 85226
Phone (480) 729-8292

5025 S Gilbert Rd
Ste 105
Chandler, AZ 85249
Phone (480) 386-8000

6070 W Bell Rd
Ste A103
Glendale, AZ 85308
Phone (602) 782-3965

5885 W Baseline Rd
Laveen, AZ 85339
Phone (602) 830-9083

5885 W Baseline Rd
Ste 110
Laveen, AZ 85339
Phone (602) 830-9083

425 N Stapley Dr
Ste 105
Mesa, AZ 85203
Phone (480) 729-8317

9241 E Cadence Pkwy
Ste 103
Mesa, AZ 85212
Phone (480) 999-4519

24645 N Lake Pleasant Pkwy
Ste 106
Peoria, AZ 85383

4731 E Greenway Rd
Ste 3
Phoenix, AZ 85032
Phone (602) 661-8956

702 W Camelback Rd
Ste 17
Phoenix, AZ 85013
Phone (602) 562-8773

3141 S McClintock Dr
Ste 2
Tempe, AZ 85282
Phone (480) 566-8125

5956 E Pima St
Tucson, AZ 85712
Phone (520) 296-8171

7865 E Broadway Blvd
Ste 165
Tucson, AZ 85710
Phone (520) 407-6037

503 13th St
Belle Plaine, IA 52208
Phone (319) 214-9270

3252 Ridge Pt
Bettendorf, IA 52722
Phone (563) 332-4995

1710 W 1st St
Ste D
Cedar Falls, IA 50613
Phone (319) 273-8988

3720 Queen Ct SW
Ste 1
Cedar Rapids, IA 52404
Phone (319) 364-0300

3286 Crosspark Rd
Ste 101
Coralville, IA 52241
Phone (319) 449-6052

2178 W Kimberly Rd
Ste 10
Davenport, IA 52806
Phone (563) 279-0100

241 SE Destination Dr
Grimes, IA 50111
Phone (515) 986-5190

6201 Merle Hay Rd
Ste 100
Johnston, IA 50131
Phone (515) 957-7790

Practitioners & affiliated clinicians

Practitioners 2,643

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 2,643

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1821085028",
    "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": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-1980",
            "fax_number": "630-928-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETICO LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "GRANADOS",
        "authorized_official_first_name": "JUANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "630-575-1980",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0001618843",
            "state": "IL"
        }
    ],
    "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 Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.