ATHLETICO LTD (NPI# 1396105581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396105581 |
| Entity Type | Organization |
| Organization Name | ATHLETICO LTD |
| Other Organization Name | ATHLETICO PHYSICAL THERAPY |
| Practice Address |
5925 28th St Se Grand Rapids MI 49546-6955 |
| Mailing Address |
600 Oakmont Ln Ste 600c Westmont IL 60559-5548 |
| Practice Telephone | 6169775700 |
| Practice Fax Number | 6309285032 |
| Mailing Telephone | 6305756250 |
| Mailing Fax Number | 6305757450 |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2020-03-09 |
| 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 |
5925 28TH ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-6955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720129547 | Bradley Thomas Zielaskowski | Physical Therapist | 5925 28th St Se, Grand Rapids, MI 49546 | 2007-02-12 |
| 1356834485 | Rachel Rebhan | Physical Therapist | 5925 28th St Se, Grand Rapids, MI 49546-6955 | 2018-06-13 |
| 1679985360 | Scott Snyder | Physical Therapist | 5925 28th St Se, Grand Rapids, MI 49546 | 2014-05-29 |
| 1255524492 | Lesley Bauer | Physical Therapist | 5925 28th St Se, Grand Rapids, MI 49546 | 2007-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| 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 |
|---|---|---|---|---|
| 1154967651 | Obsidian Chiropractic, LLC | Clinic/Center | 2504 Ardmore St Se Ste 102, Grand Rapids, MI 49506-4901 | 2019-11-20 |
| 1356816805 | Building Blocks Therapy Services, LLC | Clinic/Center | 600 3 Mile Rd Nw Ste 102, Grand Rapids, MI 49544-1685 | 2018-10-11 |
| 1427227156 | Joshuatree Internal Medicine | Clinic/Center | 825 Parchment Dr Se Ste 200, Grand Rapids, MI 49546-2382 | 2008-02-27 |
| 1518152735 | Aquinas College Inc | Clinic/Center | 1607 Robinson Rd Se, Wege Center, Grand Rapids, MI 49506-1741 | 2007-09-11 |
| 1013109438 | American Current Care of Michigan PC | Clinic/Center | 933 Three Mile Road, Suite 110, Grand Rapids, MI 49544 | 2007-08-10 |
| 1710927751 | North Central Cardiovascular Diagnostics, LLC | Clinic/Center | 111 Se 3rd St, Grand Rapids, MN 55744-3663 | 2006-06-07 |
| 1962494120 | Spectrum Health Hospitals | Clinic/Center | 35 Michigan St Ne, Grand Rapids, MI 49503-2514 | 2005-08-15 |
| 1487153938 | Karek Psychological Services, LLC | Clinic/Center | 4467 Cascade Rd Se Ste 4469, Grand Rapids, MI 49546-3776 | 2018-02-09 |
| 1386043719 | Grand Valley State University | Clinic/Center | 72 Sheldon Blvd Se, Grand Rapids, MI 49503-4234 | 2014-08-21 |
| 1295015360 | Hope Network Rehabiliation Services | Clinic/Center | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2011-08-22 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on ATHLETICO LTD.
| 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.