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ATHLETICO LTD NPI 1376216192


NPI Information

NPI: 1376216192
Provider Name: ATHLETICO LTD

Doing Business As: ATHLETICO PHYSICAL THERAPY

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
2817 W BERRY ST
FORT WORTH, TX
ZIP 76109
Phone: (682) 348-3001
Get Directions

ATHLETICO LTD is a clinic center in Fort Worth, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ATHLETICO LTD NPI is 1376216192. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Athletico Physical Therapy.

The provider's business location address is:

2817 W BERRY ST
FORT WORTH, TX
ZIP 76109-303
Phone: (682) 348-3001
Fax: (682) 268-5378

The provider's authorized official is Juana Granados .
The authorized official title is Credentialing Manager and has the following contact phone number (630) 575-1980.

The enumeration date for this NPI number is 7/28/2021 and was last updated on 10/8/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225100000XPhysical TherapistNo
2225X00000XOccupational TherapistNo
3261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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