Athletico LTD

Clinic/Center · Saint Louis, MO

Organization Active NPI

NPI number 1699378778

Practice location

107 Concord Plaza
Saint Louis, MO 63128
Phone
(314) 842-2990
Fax
(314) 842-5162

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NPI record

NPI
1699378778
Entity type
Organization (Type 2)
Enumeration date
November 19, 2020
Last updated
November 19, 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 107 Concord Plaza, Saint Louis, MO 63128. The NPI number 1699378778 was assigned on November 19, 2020 and the record was last updated on November 19, 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 1699378778.

What is the phone number of Athletico LTD?

The phone number listed for the practice location is (314) 842-2990.

Where is Athletico LTD located?

107 Concord Plaza, Saint Louis, MO 63128.

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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