Active NPI
Athletico LTD
Doing business as Athletico Physical Therapy
- Clinic/Center
- Dallas, TX
National Provider Identifier
1881167161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- ATHLETICO LTD
- Doing business as
- Athletico LTD
Athletico Physical Therapy - Practice address
- 6411 E Northwest Hwy Ste 180
Dallas, TX 75231-8007 - Phone
- (214) 265-9704
- Fax
- (214) 265-9705
- NPI assigned
- Jan 9, 2019
- Last updated
- Aug 13, 2021
- 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
- Juana Granados
- Title
- Credentialing Manager
- Phone
- (630) 575-1980
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | ||
| Clinic/Center | 261Q00000X | NU | Primary |
Addresses
Primary practice location
6411 E Northwest Hwy Ste 180
Dallas, TX 75231-8007
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-1980
Other names 2
- ATHLETICO LTD
- ATHLETICO PHYSICAL THERAPY
National Provider Directory
National Provider Directory- Tax ID family
- Athletico Physical Therapy
Organizations with this tax ID in the same state 16
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Locations
6411 E Northwest Hwy
Ste 180
Dallas, TX 75231
Phone (214) 265-9704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628812800000",
"number": "1881167161",
"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": "6411 E NORTHWEST HWY STE 180",
"city": "DALLAS",
"state": "TX",
"postal_code": "752318007",
"telephone_number": "214-265-9704",
"fax_number": "214-265-9705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATHLETICO LTD",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-09",
"last_updated": "2021-08-13",
"certification_date": "2021-08-13",
"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": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ATHLETICO LTD",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "ATHLETICO PHYSICAL THERAPY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.