Active NPI
Athletico LTD
Doing business as Athletico Physical Therapy
- Clinic/Center
- Ankeny, IA
National Provider Identifier
1962897728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- ATHLETICO LTD
- Doing business as
- Athletico Physical Therapy
- Practice address
- 1510 SW Oralabor Rd
Ste F
Ankeny, IA 50023-7147 - Phone
- (515) 963-5550
- Fax
- (515) 963-5551
- NPI assigned
- Mar 30, 2015
- Last updated
- May 14, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | IA | ||
| Occupational Therapist | 225X00000X | |||
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
1510 SW Oralabor Rd
Ste F
Ankeny, IA 50023-7147
Mailing address
600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-1980
Other names 1
- ATHLETICO PHYSICAL THERAPY
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Athletico Physical Therapy
- Physical Therapist
- Arlington HTS, IL
- NPI 1497961213
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557792000000",
"number": "1962897728",
"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": "630-575-1980",
"fax_number": "630-928-5080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 SW ORALABOR RD",
"address_2": "STE F",
"city": "ANKENY",
"state": "IA",
"postal_code": "500237147",
"telephone_number": "515-963-5550",
"fax_number": "515-963-5551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATHLETICO LTD",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-30",
"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": 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"
},
{
"organization_name": "ATHLETICO PHYSICAL THERAPY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ankeny, 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.