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ATHLETICO LTD NPI 1669032439


NPI Information

NPI: 1669032439
Provider Name: ATHLETICO LTD

Doing Business As: ATHLETICO PHYSICAL THERAPY

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
28514 DEQUINDRE RD
WARREN, MI
ZIP 48092
Phone: (248) 658-1231
Get Directions

ATHLETICO LTD is a clinic center in Warren, 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 1669032439. 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:

28514 DEQUINDRE RD
WARREN, MI
ZIP 48092-606
Phone: (248) 658-1231
Fax: (248) 970-1064

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 6/14/2019 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: 4/28/2024

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