Athletico LTD

Clinic/Center · Waco, TX

Organization Active NPI

NPI number 1639837123

Practice location

1701 Hewitt Dr
Waco, TX 76712-8660
Phone
(254) 294-5950
Fax
(254) 327-2015

Open in Google Maps

NPI record

NPI
1639837123
Entity type
Organization (Type 2)
Enumeration date
December 2, 2021
Last updated
December 6, 2021
Certified
December 6, 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) 575-6250
Fax
(630) 575-7450

Authorized official

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

Other names

  • Athletico Physical Therapy
  • 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 1701 Hewitt Dr, Waco, TX 76712-8660. The NPI number 1639837123 was assigned on December 2, 2021 and the record was last updated on December 6, 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 1639837123.

What is the phone number of Athletico LTD?

The phone number listed for the practice location is (254) 294-5950.

Where is Athletico LTD located?

1701 Hewitt Dr, Waco, TX 76712-8660.

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.

Other Clinic/Center providers in Waco

All Clinic/Center providers in Waco, TX →