Athletico Ltd
Clinic/Center in Wauwatosa, WI. Organization (NPI-2).
NPI number1063914638
StatusActive
Last updated in NPPESApr 17, 2026
Details
- NPI
- 1063914638
- Entity type
- Organization (NPI-2)
- Legal business name
- Athletico Ltd
- Organization subpart
- No
- Enumeration date
- Feb 28, 2018
- Certification date
- Apr 17, 2026
- Last updated
- Apr 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 225X00000X | Occupational Therapist | – | – | |
| 225100000X | Physical Therapist | – | – |
Other names
- Athletico Physical Therapy (Doing Business As)
Practice location
3077 N Mayfair Rd Ste 105Wauwatosa, WI 53222-4305
Phone 414-455-5797 · Fax 414-448-6327
Mailing address
2122 York Rd Ste 300Oak Brook, IL 60523-1925
Phone 630-575-6200
Authorized official
Juana Granados
Director, Credentialing
6305751980
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