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ATHLETICO LTD NPI 1609388800


NPI Information

NPI: 1609388800
Provider Name: ATHLETICO LTD

Doing Business As: ATHLETICO PHYSICAL THERAPY

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
2807 LAKE MICHIGAN DR NW STE 1
GRAND RAPIDS, MI
ZIP 49504
Phone: (616) 649-1577
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ATHLETICO LTD is a clinic center in Grand Rapids, MI. 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 1609388800. 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:

2807 LAKE MICHIGAN DR NW STE 1
GRAND RAPIDS, MI
ZIP 49504-856
Phone: (616) 649-1577
Fax: (616) 228-9578

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 10/27/2017 and was last updated on 3/9/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225X00000XOccupational TherapistNo
2225100000XPhysical 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: 11/14/2023

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