Athletico Ltd
Clinic/Center in Des Moines, IA. Organization (NPI-2).
NPI number1124422142
StatusActive
Last updated in NPPESMay 14, 2019
Details
- NPI
- 1124422142
- Entity type
- Organization (NPI-2)
- Legal business name
- Athletico Ltd
- Organization subpart
- No
- Enumeration date
- Oct 20, 2014
- Last updated
- May 14, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 225X00000X | Occupational Therapist | – | – |
Other names
- Athletico Physical Therapy (Doing Business As)
Practice location
411 Laurel StSuite 1300
Des Moines, IA 50314-3017
Phone 515-231-7710 · Fax 515-244-9914
Mailing address
600 Oakmont Ln Ste 600cWestmont, IL 60559-5548
Phone 630-575-1980 · Fax 630-928-5080
Authorized official
Juana Granados
Credentailing Manager
6305751980
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