Athletico LTD

Clinic/Center · Saint Louis, MO

Organization Active NPI

NPI number 1104510510

Practice location

6940 Olive Blvd
Saint Louis, MO 63130-2544
Phone
(314) 781-0679

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NPI record

NPI
1104510510
Entity type
Organization (Type 2)
Enumeration date
June 7, 2023
Last updated
June 7, 2023
Certified
June 7, 2023
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinic/Center Primary 261Q00000X — —
Physical Therapist 225100000X — —
Occupational Therapist 225X00000X — —

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone
(630) 575-1980

Authorized official

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

Other names

  • Athletico Physical Therapy

About Athletico LTD

Athletico LTD is a healthcare organization registered in the NPI registry with the primary taxonomy Clinic/Center (code 261Q00000X). The practice location is 6940 Olive Blvd, Saint Louis, MO 63130-2544. The NPI number 1104510510 was assigned on June 7, 2023 and the record was last updated on June 7, 2023.

The authorized official for this organization is Juana Granados, Credentialing Manager.

Frequently asked questions

What is the NPI number of Athletico LTD?

The NPI number is 1104510510.

What is the phone number of Athletico LTD?

The phone number listed for the practice location is (314) 781-0679.

Where is Athletico LTD located?

6940 Olive Blvd, Saint Louis, MO 63130-2544.

What is the taxonomy code for Athletico LTD?

The primary taxonomy code is 261Q00000X – Clinic/Center; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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