NPIMap

Organization Active NPI

Athletico LTD

  • Physical Therapist
  • Bloomington, IN
National Provider Identifier
1922498005
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ATHLETICO LTD
Practice address
3243 W 3Rd St
Bloomington, IN 47404-4835
Phone
(812) 668-1880
Fax
(812) 668-1881
NPI assigned
Jan 28, 2015
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Geri Cook
Title
Director of Clinical Services
Phone
(630) 575-1940

Corporate family (same tax ID) 13

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

National Provider Directory

National Provider Directory
Tax ID family
Athleticoltd (293 organizations share this tax ID)

Locations

3243 W 3rd St
Bloomington, IN 47404
Phone (812) 668-1880

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X IL Primary

Addresses

NPPES NPI Registry

Primary practice location

3243 W 3Rd St
Bloomington, IN 47404-4835

Mailing address

3243 W 3Rd St
Bloomington, IN 47404-4835
Phone (812) 668-1880

Other names 1

NPPES NPI Registry
  • Athletico Physical Therapy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 28, 2015.

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1922498005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3243 W 3RD ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474044835",
            "telephone_number": "812-668-1880",
            "fax_number": "812-668-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3243 W 3RD ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474044835",
            "telephone_number": "812-668-1880",
            "fax_number": "812-668-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETICO LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "GERI",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "630-575-1940"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athletico Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.