Athletico LTD

Clinic/Center · Saint Louis, MO

Organization Active NPI

NPI number 1174126544

Practice location

2937 S Brentwood Blvd
Saint Louis, MO 63144-2713
Phone
(314) 961-3804
Fax
(314) 961-1147

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NPI record

NPI
1174126544
Entity type
Organization (Type 2)
Enumeration date
November 18, 2020
Last updated
November 18, 2020
Certified
November 18, 2020
Organization subpart
No

Specialties & taxonomy codes

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

Mailing address

600 Oakmont Ln Ste 600c
Westmont, IL 60559-5548
Phone
(630) 575-6250
Fax
(630) 575-7450

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 2937 S Brentwood Blvd, Saint Louis, MO 63144-2713. The NPI number 1174126544 was assigned on November 18, 2020 and the record was last updated on November 18, 2020.

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 1174126544.

What is the phone number of Athletico LTD?

The phone number listed for the practice location is (314) 961-3804.

Where is Athletico LTD located?

2937 S Brentwood Blvd, Saint Louis, MO 63144-2713.

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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