Organization · NPI-2

Athletico Ltd

Occupational Therapist · Waukesha, WI

NPI number1457295693
StatusActive
Last updated in NPPESApr 17, 2026

Details

NPI
1457295693
Entity type
Organization (NPI-2)
Legal business name
Athletico Ltd
Organization subpart
No
Enumeration date
Apr 17, 2026
Certification date
Apr 17, 2026
Last updated
Apr 17, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist––Yes
225100000X Physical Therapist––
261Q00000X Clinic/Center––

Practice location

211 E Sunset Dr
Waukesha, WI 53189-7603

Phone 262-832-7600 · Fax 262-832-7601

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925

Phone 630-575-6200

Authorized official

Juana Granados
Director, Credentialing
6305751980

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