Athletico LTD

Clinic/Center · Prosper, TX

Organization Active NPI

NPI number 1396218681

Practice location

2450 E Prosper Trl Ste 10
Prosper, TX 75078-9172
Phone
(972) 347-9735
Fax
(972) 347-9737

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NPI record

NPI
1396218681
Entity type
Organization (Type 2)
Enumeration date
January 9, 2019
Last updated
January 9, 2019
Organization subpart
No

Specialties & taxonomy codes

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

Mailing address

600 Oakmont Ln Ste 600c
Westmont, IL 60559-5548
Phone
(630) 575-1980
Fax
(630) 928-5080

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 2450 E Prosper Trl Ste 10, Prosper, TX 75078-9172. The NPI number 1396218681 was assigned on January 9, 2019 and the record was last updated on January 9, 2019.

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 1396218681.

What is the phone number of Athletico LTD?

The phone number listed for the practice location is (972) 347-9735.

Where is Athletico LTD located?

2450 E Prosper Trl Ste 10, Prosper, TX 75078-9172.

What is the taxonomy code for Athletico LTD?

The primary taxonomy code is 261Q00000X – Clinic/Center; 1 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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