Athletico LTD

Clinic/Center · Saint Louis, MO

Organization Active NPI

NPI number 1508537069

Practice location

4179 Lindell Blvd
Saint Louis, MO 63108-2913
Phone
(314) 944-0494
Fax
(314) 946-9001

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NPI record

NPI
1508537069
Entity type
Organization (Type 2)
Enumeration date
September 24, 2021
Last updated
September 24, 2021
Certified
September 24, 2021
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
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 4179 Lindell Blvd, Saint Louis, MO 63108-2913. The NPI number 1508537069 was assigned on September 24, 2021 and the record was last updated on September 24, 2021.

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 1508537069.

What is the phone number of Athletico LTD?

The phone number listed for the practice location is (314) 944-0494.

Where is Athletico LTD located?

4179 Lindell Blvd, Saint Louis, MO 63108-2913.

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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