ATHLETICO, LTD (NPI# 1932713146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932713146 |
Entity Type | Organization |
Organization Name | ATHLETICO, LTD |
Practice Address |
N63w23675 Main St Sussex WI 53089 |
Mailing Address |
600 Oakmont Ln Ste 600c Westmont IL 60559-5548 |
Practice Telephone | 2623420062 |
Practice Fax Number | 2623727073 |
Mailing Telephone | 6305756250 |
Mailing Fax Number | 6305754750 |
Enumeration Date | 2020-09-04 |
Last Update Date | 2020-09-04 |
Authorized Official Name | JUANA GRANADOS (CREDENTIALING MANAGER) |
Authorized Official Telephone | 6305751980 |
Is Organization Subpart | Y |
Parent Organization Name | ATHLETICO, LTD |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
ATHLETICO PHYSICAL THERAPY | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023518321 | Athletico, Ltd | Physical Therapist | 6701 Hoover Rd, Indianapolis, IN 46260-4120 | 2018-02-14 |
1568912905 | Athletico, Ltd | Physical Therapist | 1202 Taylor St., Chicago, IL 60607 | 2016-10-10 |
1063883494 | Athletico, Ltd | Physical Therapist | 3922 North Sheridan Rd, Chicago, IL 60613 | 2015-10-12 |
1356578942 | Athletico, Ltd | Physical Therapist | 722 N. Mclean Blvd, South Elgin, IL 60177 | 2009-06-22 |
1710122361 | Athletico, Ltd | Physical Therapist | 3644 W. 111th Street, Chicago, IL 60655 | 2008-12-11 |
1740772334 | Athletico, Ltd | Clinic/Center | 4700 N Western Ave Ste 2, Chicago, IL 60625-6999 | 2018-05-31 |
1720445349 | Athletico, Ltd | Physical Therapist | 19801 Governors Hwy, Suite 100, Flossmoor, IL 60422-4362 | 2016-01-27 |
1578965703 | Athletico, Ltd | Physical Therapist | 11780 Olio Rd, Suite 100, Fishers, IN 46037-7616 | 2014-09-18 |
1700294709 | Athletico, Ltd | Physical Therapist | 3701 Algonquin Rd, Suite 810, Rolling Meadows, IL 60008-3127 | 2014-07-23 |
1366792350 | Athletico, Ltd | Physical Therapist | 5708 75th St, Kenosha, WI 53142-3635 | 2012-09-17 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Ohio Business Entities | ATHLETICO, LTD | 625 Enterprise Drive, Oak Brook, IL 60523 |
Iowa Business Entities | ATHLETICO, LTD. | 625 Enterprise Dr, Oak Brook, IL 60523 |
Indiana Business Entities | ATHLETICO, LTD. | 625 Enterprise Dr, Oak Brook, IL 60523 |
Street Address |
N63W23675 MAIN ST |
City | SUSSEX |
State | WI |
Zip Code | 53089 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538707120 | Schyler M Schultz | Pharmacist | N65w24838 Main St, Sussex, Wi 53089, Sussex, WI 53089 | 2019-12-15 |
1558917617 | Quad/med, LLC | Clinic/Center | N61 W23044 Harry's Way, Sussex, WI 53089 | 2019-08-14 |
1982176590 | Katherine Tsiampas | Registered Nurse | W236 N6128 Pine Terrace, Sussex, Sussex, WI 53089 | 2018-12-20 |
1437529120 | Quad/med, LLC | Clinic/Center | W227 N6103 Sussex Rd, Sussex, WI 53089 | 2015-10-07 |
1265839849 | Amber Louise Bergner | Registered Nurse | W232n7066 Salem Dr, Sussex, WI 53089 | 2014-11-26 |
1407129604 | Cheryl Marie Werra | Registered Nurse | N73w23260 Blakestone Ct., Sussex, WI 53089 | 2012-02-17 |
1144508730 | Oriental Wellness Center & Spa | Acupuncturist | W249 N5245 Executive Dr., Suite 208, Sussex, WI 53089 | 2011-07-30 |
1982865945 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | N 66 W 25201, Cth V V, Sussex, WI 53089 | 2008-06-23 |
1316108376 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | N66 W25201 Cth V V, Sussex, WI 53089 | 2008-06-23 |
1245457050 | Sussex Chiropractic Sc | Chiropractor | N64 W22640 Main Street, Sussex, WI 53089 | 2007-04-20 |
Find all providers in zip 53089 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437529120 | Quad/med, LLC | Clinic/Center | W227 N6103 Sussex Rd, Sussex, WI 53089 | 2015-10-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346882693 | My Health Clinic | Clinic/Center | 6300 N 76th St, Milwaukee, WI 53218-1208 | 2019-10-08 |
1710447008 | Afjv Inc | Clinic/Center | 2801 W Kinnickinnic River Pkwy Ste 470, Milwaukee, WI 53215-5211 | 2019-03-22 |
1881182889 | Allure Medical of Wisconsin Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 | 2018-04-25 |
1811412091 | H2o:health Hydration Oasis | Clinic/Center | 17110 W Greenfield Ave Ste 6, Brookfield, WI 53005-6899 | 2017-08-08 |
1003336884 | 3d Brows and Wellness LLC | Clinic/Center | 801 Hoffman Rd Ste 106, Green Bay, WI 54301-1462 | 2017-06-22 |
1891106092 | Wisconsin Wellness Clinic | Clinic/Center | 280 Regency Ct, Suite 100, Brookfield, WI 53045-6165 | 2014-05-11 |
1437317708 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1160 Service Rd, Kiel, WI 53042 | 2008-05-23 |
1679731954 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1128 E Parkway Ave, Oshkosh, WI 54901 | 2008-05-23 |
1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
Find all providers with the same taxonomy |
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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.