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Athletico LTD

Organization Active NPI Clinic/Center · Chesterfield, MI

NPI 1972039303 · NPPES record last updated Mar 9, 2020

Key facts

NPI
1972039303
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
Legal business name
ATHLETICO LTD
Practice address
50912 Gratiot Ave
Chesterfield, MI 48051-3134
Phone
(586) 200-6603
Fax
(586) 200-6604
NPI assigned
May 4, 2017
Organization subpart
No

Authorized official

Name
Juana Granados
Title
Credentialing Manager
Phone
(630) 575-1980

Corporate family (same tax ID) 42

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

View all 42

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Athletico LTD (43 organizations share this tax ID)

Locations

171 Lakewood Dr
Ste 2
Batesville, MS 38606
Phone (662) 563-2579

5532 Highway 15 N
Ste 4
Ecru, MS 38841
Phone (662) 489-4418

1091 Gluckstadt Rd
Ste E
Gluckstadt, MS 39110

1105 Sunwood Dr
Ste 2
Grenada, MS 38901
Phone (662) 307-7151

2205 Jefferson Davis Dr
Oxford, MS 38655
Phone (662) 232-8949

900 Sisk Ave
Ste C
Oxford, MS 38655
Phone (662) 449-9190

105 Quality Ln
#B
Senatobia, MS 38668

1100 Church Rd W
Ste 112
Southaven, MS 38671
Phone (662) 548-3650

3964 Goodman Rd E
#111
Southaven, MS 38672
Phone (662) 890-6953

3437 Tupelo Commons
Ste 22
Tupelo, MS 38804

130A James O Smith Dr
Walnut, MS 38683

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225100000X MI
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225X00000X MI
Clinic/Center 261Q00000X Yes

Addresses

Primary practice location

50912 Gratiot Ave
Chesterfield, MI 48051-3134

Mailing address

600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-1980

Other names

  • ATHLETICO PHYSICAL THERAPY Doing business as

Other providers in Chesterfield, MI

All providers in Chesterfield, MI · Clinic/Center in Michigan

Sources for this page

Verify at the official NPI Registry.