Athletico LTD
Organization Active NPI Clinic/Center · Ankeny, IA
NPI 1962897728 · NPPES record last updated May 14, 2019
Key facts
- NPI
- 1962897728
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- ATHLETICO LTD
- 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
- Organization subpart
- No
Authorized official
- Name
- Juana Granados
- Title
- Credentialing Manager
- Phone
- (630) 575-1980
Member of 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | IA | ||
| Occupational Therapist |
225X00000X | |||
| Clinic/Center | 261Q00000X | Yes |
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
- ATHLETICO PHYSICAL THERAPY
Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2019. 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.