Organization · NPI-2

Athletico Ltd

Clinic/Center · Frisco, TX

NPI number1508539313
StatusActive
Last updated in NPPESJul 28, 2021

Details

NPI
1508539313
Entity type
Organization (NPI-2)
Legal business name
Athletico Ltd
Organization subpart
No
Enumeration date
Jul 28, 2021
Certification date
Jul 28, 2021
Last updated
Jul 28, 2021

Taxonomy and licenses

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

Other names

  • Athletico Physical Therapy (Doing Business As)

Practice location

4851 Legacy Dr Ste 203
Frisco, TX 75034-0846

Phone 469-592-6539 · Fax 469-389-3029

Mailing address

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

Phone 630-575-1980 · Fax 630-928-5080

Authorized official

Juana Granados
Credentialing Manager
6305751980

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center providers in Frisco, TX