Active NPI
Athletico LTD
Doing business as Athletico Physical Therapy
- Physical Therapist
- Oak Brook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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, 2026
- 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
- Ms. Juana L Granados
- Title
- Credentialing Manager
- Phone
- (630) 575-1980
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001618843 | Other | IL | BLUE CROSS BLUE SHIELD |
Other names 1
- Athletico Physical Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, IN, IL, IA, KS, MO, TX, AZ, SD, MI, OH
Enrollment records 11
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
dba Atheltico Physical Therapy
- Clinic/Center
- Milwaukee, WI
- NPI 1083940274
O20100913000433
-
dba Athletico Physical Therapy
- Physical Therapist
- Liberty, MO
- NPI 1114449857
O20171211002357
-
dba Athletico Physical Therapy
- Clinic/Center
- Sachse, TX
- NPI 1740748136
O20190128000322
-
dba Athletico Physical Therapy
- Clinic/Center
- Schererville, IN
- NPI 1689974131
O20110309000231
National Provider Directory
National Provider DirectoryLocations (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.
-
- Physical Therapist
- Pecatonica, IL
- NPI 1649759150
-
- Physical Therapist
- Chicago, IL
- NPI 1164195582
-
- Physical Therapist
- Gurnee, IL
- NPI 1538689278
-
- Physical Therapist
- Chicago, IL
- NPI 1093548323
-
- Physical Therapist
- Chicago, IL
- NPI 1972039428
-
- Physical Therapist
- Countryside, IL
- NPI 1790163533
-
- Physical Therapist
- Chicago, IL
- NPI 1194534404
-
- Physical Therapist
- Chicago, IL
- NPI 1790638435
-
- Physical Therapist
- Elmhurst, IL
- NPI 1831692821
-
- Physical Therapist
- Lincolnwood, IL
- NPI 1992402804
-
- Physical Therapist
- Chicago, IL
- NPI 1750574885
-
- Physical Therapist
- Chicago, IL
- NPI 1972729689
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.