NPIMap

Organization Active NPI

Athletico LTD

Doing business as Athletico Physical Therapy

  • Clinic/Center
  • Des Moines, IA
National Provider Identifier
1871900985
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
2918 E University Ave
Des Moines, IA 50317-8236
Phone
(515) 265-8272
Fax
(515) 265-0176
NPI assigned
Jul 21, 2014
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 IA
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X IA
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2918 E University Ave
Des Moines, IA 50317-8236

Mailing address

600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-6200

Other names 1

  • ATHLETICO PHYSICAL THERAPY Doing business as

National Provider Directory

National Provider Directory

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

3160 8th St SW
Altoona, IA 50009

1604 NW State St
Ste 101102
Ankeny, IA 50023
Phone (515) 965-4594

1604 NW State St
Ste 102
Ankeny, IA 50023
Phone (515) 965-4594

912 Viking Rd
Cedar Falls, IA 50613

3134 Manawa Centre Dr
Council Bluffs, IA 51501
Phone (712) 308-8038

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

4730 Elmore Ave
Unit 1
Davenport, IA 52807
Phone (563) 362-3709

2619 SW 9th St
Des Moines, IA 50315

2619 SW 9th St
Ste 103
Des Moines, IA 50315
Phone (515) 953-6911

126 N 6th St
Ste B
Forest City, IA 50436
Phone (641) 548-8777

1709 N Jefferson Way
Ste 100
Indianola, IA 50125
Phone (515) 962-9272

6201 Merle Hay Rd
Johnston, IA 50131

1850 Sunset Dr
Ste 102
Norwalk, IA 50211
Phone (515) 539-1310

604 Ansborough Ave
Waterloo, IA 50701
Phone (319) 433-0130

128 W Hickman Rd
Waukee, IA 50263
Phone (515) 309-1819

12720 S Saginaw St
Ste E2
Grand Blanc, MI 48439
Phone (810) 771-5600

18940 Evans St
Ste 106
Elkhorn, NE 68022
Phone (402) 408-0507

12311 W Center Rd
Omaha, NE 68144
Phone (402) 408-0384

Practitioners & affiliated clinicians

Practitioners 136

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 136

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1871900985",
    "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": "630-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 E UNIVERSITY AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503178236",
            "telephone_number": "515-265-8272",
            "fax_number": "515-265-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETICO LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "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": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "IA",
            "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 Des Moines, IA

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.