ATHLETICO LTD (NPI# 1063055598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063055598 |
| Entity Type | Organization |
| Organization Name | ATHLETICO LTD |
| Practice Address |
701 N Elida St Suite 1 Winnebago IL 61088-8624 |
| Mailing Address |
600 Oakmont Ln Ste 600c Westmont IL 60559-5548 |
| Practice Telephone | 8153358024 |
| Practice Fax Number | 8153358025 |
| Mailing Telephone | 6305756250 |
| Mailing Fax Number | 6305757450 |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2019-10-28 |
| Authorized Official Name | JUANA GRANADOS (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 6305751980 |
| Is Organization Subpart | N |
| 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 | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Athletico Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343596 | Athletico Ltd | Physical Therapist | 2090 W Grand River Ave Ste C, Okemos, MI 48864-1773 | 2020-10-12 |
| 1780203091 | Athletico Ltd | Occupational Therapist | 3050 Union Lake Rd Ste 3c, Commerce Township, MI 48382-4563 | 2020-04-16 |
| 1780218651 | Athletico Ltd | Physical Therapist | 141 S Parker St, Olathe, KS 66061-4043 | 2020-02-28 |
| 1568095602 | Athletico Ltd | Physical Therapist | 12404 S Us Highway 71, Grandview, MO 64030-1733 | 2020-02-18 |
| 1235762675 | Athletico Ltd | Physical Therapist | 4929 W Ray Rd Ste 4, Chandler, AZ 85226-6228 | 2020-02-13 |
| 1174154611 | Athletico Ltd | Physical Therapist | 3149 Crooks Rd, Troy, MI 48084-1633 | 2020-02-03 |
| 1063042794 | Athletico Ltd | Occupational Therapist | 2990 Golf Rd, Delafield, WI 53018-2179 | 2020-01-22 |
| 1558900944 | Athletico Ltd | Physical Therapist | 6070 W Bell Rd Ste A103, Glendale, AZ 85308-3774 | 2020-01-02 |
| 1669011466 | Athletico Ltd | Physical Therapist | 17020 Fort St, Riverview, MI 48193-6626 | 2019-12-27 |
| 1215572177 | Athletico Ltd | Occupational Therapist | 11207 Shawnee Mission Pkwy, Shawnee, KS 66203-3333 | 2019-11-14 |
| Street Address |
701 N ELIDA ST SUITE 1 |
| City | WINNEBAGO |
| State | IL |
| Zip Code | 61088-8624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871065250 | Jennifer Sue Beck | Lactation Consultant, Non-RN | 506 N Elida, Winnebago, IL 61088 | 2018-12-22 |
| 1821569120 | Paula R Hart | Registered Nurse | 503 N. Elida St., Winnebago, IL 61088 | 2018-12-12 |
| 1598192817 | Robert Allan Behmer | General Practice | 9426 Montaque Road, Winnebago, IL 61088 | 2013-10-01 |
| 1174633366 | Jon S. Strutzenberg | Family Medicine | 102 Landmark Dr, Winnebago, IL 61088 | 2006-08-30 |
| 1255803466 | Moms Lactation Resource Center | Clinic/Center | 506 N Elida, Winnebago, IL 61088 | 2018-12-28 |
| 1720148281 | Jennifer L. Dinges | Nurse Practitioner | 102 Landmark Dr, Winnebago, IL 61088 | 2006-12-12 |
| 1144395161 | James P Heynen | Dentist | 502 N Elida St, Winnebago, IL 61088 | 2006-11-22 |
| 1275643462 | Hahn Tu Rudolph | Family Medicine | 102 Landmark Dr, Winnebago, IL 61088 | 2006-08-30 |
| 1548426158 | Brian Thomas Michalsen | Family Medicine | 102 Landmark Dr, Winnegago, IL 61088-3619 | 2008-08-03 |
| 1730246158 | Felker Pharmacy Inc | Pharmacy | 101 Landmark Dr, Winnebago, IL 61088-7702 | 2007-01-03 |
| Find all providers in zip 61088 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801260526 | Winnebago Indian Health Service | Clinic/Center | Hwy 77 75, Winnebago, NE 68071 | 2015-11-18 |
| 1497938542 | Winnebago Tribal Health Department | Clinic/Center | 225 S. Bluff St, Winnebago, NE 68071 | 2007-12-12 |
| 1679675680 | Blue Earth Valley Eye Clinic Ltd | Clinic/Center | 21 Main Street South, Winnebago, MN 56098 | 2006-09-01 |
| 1255803466 | Moms Lactation Resource Center | Clinic/Center | 506 N Elida, Winnebago, IL 61088 | 2018-12-28 |
| 1033608328 | Winnebago Tribe of Nebraska | Clinic/Center | 225 South Bluff Street, Winnebago, NE 68071 | 2018-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069805 | Elite Spine & Wellness Center, Inc | Clinic/Center | 5898 Pathfinder Rd, Rockford, IL 61109-4008 | 2020-10-08 |
| 1407453236 | Dirsi, Inc | Clinic/Center | 2112 N Dayton St, Chicago, IL 60614-4302 | 2020-10-05 |
| 1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
| 1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
| 1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
| 1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
| 1821607425 | Desired Medical Services Incorporated | Clinic/Center | 371 Mackinaw Ave, Calumet City, IL 60409-2524 | 2020-07-29 |
| 1639787823 | Md Infusions, Pllc | Clinic/Center | 666 Dundee Rd Ste 1800, Northbrook, IL 60062-2727 | 2020-07-14 |
| 1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
| 1629696679 | Serenity Internal Medicine & Wellness Center | Clinic/Center | 3330 W 177th St # 2d-1, Hazel Crest, IL 60429-2184 | 2020-07-07 |
| 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.