NPIMap

Athletico LTD

Organization Active NPI Clinic/Center · Delaware, OH

NPI 1841964301 · NPPES record last updated Aug 6, 2021

Key facts

NPI
1841964301
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
Legal business name
ATHLETICO LTD
Practice address
1157 Columbus Pike Ste 10
Delaware, OH 43015-2713
Phone
(740) 513-4595
Fax
(740) 217-1016
NPI assigned
Aug 6, 2021
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 14

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Athleticoltd (293 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225100000X
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225X00000X
Clinic/Center 261Q00000X Yes

Addresses

Primary practice location

1157 Columbus Pike Ste 10
Delaware, OH 43015-2713

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (305) 756-2006

Other names

  • Athletico Physical Therapy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 6, 2021.

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1841964301",
    "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": "305-756-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 COLUMBUS PIKE STE 10",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430152713",
            "telephone_number": "740-513-4595",
            "fax_number": "740-217-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETICO LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "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"
        }
    ]
}

Other providers in Delaware, OH

All providers in Delaware, OH · Clinic/Center in Ohio

Sources for this page

Verify at the official NPI Registry.