ATHLETICO LTD (NPI# 1295368520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295368520 |
| Entity Type | Organization |
| Organization Name | ATHLETICO LTD |
| Practice Address |
2900 W Peterson Ave Chicago IL 60659-3818 |
| Mailing Address |
600 Oakmont Ln Ste 600c Westmont IL 60559-5548 |
| Practice Telephone | 7735965484 |
| Mailing Telephone | 6305751980 |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-02-14 |
| Authorized Official Name | JUANA GRANADOS (CREDENTILAING MANAGER) |
| Authorized Official Telephone | 6305751980 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Athletico Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343596 | Athletico Ltd | Physical Therapist | 2090 W Grand River Ave Ste C, Okemos, MI 48864-1773 | 2020-10-12 |
| 1780203091 | Athletico Ltd | Occupational Therapist | 3050 Union Lake Rd Ste 3c, Commerce Township, MI 48382-4563 | 2020-04-16 |
| 1780218651 | Athletico Ltd | Physical Therapist | 141 S Parker St, Olathe, KS 66061-4043 | 2020-02-28 |
| 1568095602 | Athletico Ltd | Physical Therapist | 12404 S Us Highway 71, Grandview, MO 64030-1733 | 2020-02-18 |
| 1235762675 | Athletico Ltd | Physical Therapist | 4929 W Ray Rd Ste 4, Chandler, AZ 85226-6228 | 2020-02-13 |
| 1174154611 | Athletico Ltd | Physical Therapist | 3149 Crooks Rd, Troy, MI 48084-1633 | 2020-02-03 |
| 1063042794 | Athletico Ltd | Occupational Therapist | 2990 Golf Rd, Delafield, WI 53018-2179 | 2020-01-22 |
| 1558900944 | Athletico Ltd | Physical Therapist | 6070 W Bell Rd Ste A103, Glendale, AZ 85308-3774 | 2020-01-02 |
| 1669011466 | Athletico Ltd | Physical Therapist | 17020 Fort St, Riverview, MI 48193-6626 | 2019-12-27 |
| 1215572177 | Athletico Ltd | Occupational Therapist | 11207 Shawnee Mission Pkwy, Shawnee, KS 66203-3333 | 2019-11-14 |
| Street Address |
2900 W PETERSON AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60659-3818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528008539 | Ejaz Rahimchaudhry | Radiology | 2900 W Peterson Ave, Suite 11, Chicago, IL 60659-3818 | 2006-06-07 |
| 1760007868 | Evelyn M Lee | Physical Therapist | 2900 W Peterson Ave, Chicago, IL 60659-3818 | 2020-06-15 |
| 1245797075 | Athletico, Ltd. | Clinic/Center | 2900 W Peterson Ave, Chicago, IL 60659-3818 | 2019-02-28 |
| 1679007371 | Sarah Jaacks | Physical Therapist | 2900 W Peterson Ave, Chicago, IL 60659 | 2017-04-19 |
| 1053869628 | National Clinical Labs | Clinical Medical Laboratory | 2900 W Peterson Ave, Ste#14, Chicago, IL 60659-3818 | 2016-09-13 |
| 1720366701 | Dawn Diagnostics Imaging Group Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2900 W Peterson Ave, Suite 6, Chicago, IL 60659-3818 | 2011-07-25 |
| 1215971965 | Muneer S Hasan | Radiologic Technologist | 2900 W Peterson Ave, Suite 11, Chicago, IL 60659-3818 | 2006-06-15 |
| 1952343246 | Mobile Imaging Services,inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2900 W Peterson Ave, Suite 11, Chicago, IL 60659-3818 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811425 | Devon Homecare Physicians Inc. | Family Medicine | 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 | 2020-11-03 |
| 1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
| 1508410069 | Kara Lyn Anderson | Counselor | 2551 W. Peterson Ave, Chicago, IL 60659 | 2019-08-01 |
| 1568980019 | Saba Suleman | Counselor | 5815 N Spaulding Ave Apt 3a, Chicago, IL 60659 | 2017-09-05 |
| 1639695257 | Go Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5862 N Lincoln Ave, Suite 4, Chicago, IL 60659 | 2017-08-15 |
| 1972039568 | Trilogy, Inc. | Community/Behavioral Health | 2551 W Peterson Ave, Chicago, IL 60659 | 2017-05-03 |
| 1689029050 | Soulu | Voluntary or Charitable | 3557 W Peterson Ave #122, Chicago, IL 60659 | 2016-05-04 |
| 1730540550 | Michael Wei-tsi Chien | Dentist | 3425 W Peterson Ave Ste 107, Chicago, IL 60659 | 2016-03-08 |
| 1497129688 | Acquaint Homecare LLC | Home Health | 3525 West Peterson Avenue, Unit 118, Chicago, IL 60659 | 2015-11-25 |
| 1083054621 | Rebecca Schnell | Speech-Language Pathologist | 6124 N Saint Louis Ave, Chicago, IL 60659 | 2013-06-27 |
| Find all providers in zip 60659 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253464 | Chimera Health Pllc | Clinic/Center | 525 N Ada St Apt 10, Chicago, IL 60642-6486 | 2020-10-21 |
| 1093324345 | Motogenix Concierge Physical Therapy | Clinic/Center | 111 S Morgan St Apt 620, Chicago, IL 60607-2732 | 2020-07-23 |
| 1275152746 | Freeform Physical Therapy LLC | Clinic/Center | 2906 W Fullerton Ave, Chicago, IL 60647-2921 | 2020-04-14 |
| 1730736158 | Achieve Performance Lab LLC | Clinic/Center | 1940 W Lawrence Ave Apt 3w, Chicago, IL 60640-4012 | 2019-08-20 |
| 1255997862 | Urban Physical Therapy LLC | Clinic/Center | 345 E Ohio St Apt 2807, Chicago, IL 60611-4065 | 2019-05-20 |
| 1760047179 | Remedy Physical Therapy and Wellness | Clinic/Center | 4636 N Kenmore Ave # 2, Chicago, IL 60640-5039 | 2019-05-01 |
| 1780248864 | Customfit Concierge Medicine, Health and Fitness LLC | Clinic/Center | 1413 W Fillmore St Apt 2, Chicago, IL 60607-4716 | 2019-04-24 |
| 1801356175 | Kinetic Care Physical Therapy LLC | Clinic/Center | 3245 N Ashland Ave Apt 2a, Chicago, IL 60657-4087 | 2019-03-22 |
| 1760952626 | Prep Performance Center, LLC | Clinic/Center | 4022 N Rockwell Street, Chicago, IL 60618 | 2018-12-04 |
| 1699272864 | Athletico, Ltd. | Clinic/Center | 2520 N Elston Ave, Chicago, IL 60647-2004 | 2018-04-12 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.