Athletico LTD
Organization Active NPI Clinic/Center · Louisville, KY
NPI 1891511069 · NPPES record last updated Dec 3, 2024
Key facts
- NPI
- 1891511069
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- ATHLETICO LTD
- Practice address
- 12935 Shelbyville Rd Ste 107
Louisville, KY 40243-1592 - Phone
- (502) 792-8900
- Fax
- (502) 537-6378
- NPI assigned
- Dec 3, 2024
- Organization subpart
- No
Authorized official
- Name
- Tasheda Broughton, PESC
- Title
- Manager, Credentialing
- Phone
- (252) 248-3313
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Athleticoltd
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | |||
| Occupational Therapist |
225X00000X | |||
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
12935 Shelbyville Rd Ste 107
Louisville, KY 40243-1592
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (252) 248-3313
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.