ATHLETICO, LTD. (NPI# 1396277240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396277240 |
| Entity Type | Organization |
| Organization Name | ATHLETICO, LTD. |
| Other Organization Name | ATHLETICO PHYSICAL THERAPY |
| Practice Address |
1001 E 17th St Bloomington IN 47408-1590 |
| Mailing Address |
625 Enterprise Dr Oak Brook IL 60523-8813 |
| Practice Telephone | 8126681880 |
| Practice Fax Number | 8126681881 |
| Mailing Telephone | 6305756250 |
| Mailing Fax Number | 6305757450 |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |
| Authorized Official Name | GERI COOK (VP OF BILLING OPERATIONS) |
| Authorized Official Telephone | 6305751940 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 060005437 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Athletico Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114486834 | Athletico, Ltd. | Clinic/Center | 750 E Terra Cotta Ave Ste D, Crystal Lake, IL 60014-3621 | 2019-03-13 |
| 1093283350 | Athletico, Ltd. | Physical Therapist | 1870 E Grand Ave, Lindenhurst, IL 60046-7821 | 2018-11-05 |
| 1699272864 | Athletico, Ltd. | Clinic/Center | 2520 N Elston Ave, Chicago, IL 60647-2004 | 2018-04-12 |
| 1023520244 | Athletico, Ltd. | Physical Therapist | 5601 W Monee Manhattan Rd Ste 115, Monee, IL 60449-8866 | 2017-10-27 |
| 1245797075 | Athletico, Ltd. | Clinic/Center | 2900 W Peterson Ave, Chicago, IL 60659-3818 | 2019-02-28 |
| 1316403751 | Athletico, Ltd. | Clinic/Center | 28 N Clark St, Chicago, IL 60602-2716 | 2019-02-11 |
| 1346728029 | Athletico, Ltd. | Physical Therapist | 372 E Il Route 38, Rochelle, IL 61068-9694 | 2018-08-03 |
| 1053898122 | Athletico, Ltd. | Physical Therapist | 460 W Irving Park Rd Ste G, Bensenville, IL 60106-2178 | 2018-07-23 |
| 1255818571 | Athletico, Ltd. | Physical Therapist | 405 E North Ave, Lombard, IL 60148-1325 | 2018-07-20 |
| 1427545730 | Athletico, Ltd. | Physical Therapist | 165 N Lakewood Rd Ste E, Lake In The Hills, IL 60156 | 2018-04-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | ATHLETICO, LTD | 625 Enterprise Drive, Oak Brook, IL 60523 |
| Iowa Business Entities | ATHLETICO, LTD. | 625 Enterprise Dr, Oak Brook, IL 60523 |
| Indiana Business Entities | ATHLETICO, LTD. | 625 Enterprise Dr, Oak Brook, IL 60523 |
| Street Address |
1001 E 17TH ST |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47408-1590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376424 | Andy S. Hipskind | Family Medicine | 1001 E 17th St, Bloomington, IN 47408-1590 | 2005-06-16 |
| 1831757541 | Hannah Nicole Miller | Specialist/Technologist | 1001 E 17th St, Bloomington, IN 47408-1590 | 2019-05-29 |
| 1528525920 | Jacob Steven Laverman | Physical Therapist | 1001 E 17th St, Bloomington, IN 47408-1590 | 2019-02-22 |
| 1730671934 | Lewis Meyer Young | Neuromusculoskeletal Medicine, Sports Medicine | 1001 E 17th St, Bloomington, IN 47408-1590 | 2018-06-04 |
| 1811404171 | Jacob Riley Proffer | Specialist/Technologist | 1001 E 17th St, Bloomington, IN 47408-1590 | 2018-01-08 |
| 1376057083 | Katherine Adair O'donnell | Specialist/Technologist | 1001 E 17th St, Bloomington, IN 47408-1590 | 2017-11-17 |
| 1003341918 | Jonathan Wicks | Psychiatry & Neurology | 1001 E 17th St, Bloomington, IN 47408-1590 | 2017-04-28 |
| 1003354242 | Mitch Taffe | Specialist/Technologist | 1001 E 17th St, Athletic Training, Bloomington, IN 47408-1590 | 2017-02-08 |
| 1992170898 | John Pauer | Specialist/Technologist | 1001 E 17th St, Bloomington, IN 47408-1590 | 2015-12-03 |
| 1790158954 | Kelly Whitney-babcock | Specialist/Technologist | 1001 E 17th St, Bloomington, IN 47408-1590 | 2015-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079398 | Ta-kisha Jones | Health Educator | 309 N. Woodlawn Ave, Bloomington, IN 47408 | 2020-10-06 |
| 1265915904 | Meghan Elizabeth Kinkead | Specialist/Technologist | Simon Skjodt Assembly Hall, 1001 East 17th Street, Bloomington, IN 47408 | 2018-09-10 |
| 1316499395 | Marabai Rose Counseling, LLC | Social Worker | 4568 East State Rd 45, Bloomington, IN 47408 | 2016-10-26 |
| 1295133908 | Eden Embree | Specialist/Technologist | 1001 E. 17th Street, Assembly Hall, Bloomington, IN 47408 | 2014-12-11 |
| 1588995229 | Create-a-smile PC | Dentist | 219 E. 17th St., Bloomington, IN 47408 | 2010-01-20 |
| 1609053289 | Laurette Frazier | Counselor | 2815 E. 10th Street, Stone Belt, Bloomington, IN 47408 | 2008-01-26 |
| 1770709917 | Robin A. Roberts | Dentist | 104 E. 19th Street, Bloomington, IN 47408 | 2007-04-17 |
| 1376614008 | David Rudolf Fletcher | General Practice | 126 S. Hampton Ct, Bloomington, IN 47408 | 2006-11-13 |
| 1114013752 | Christole, Inc | Intermediate Care Facility, Mentally Retarded | 2727 N Dunn, Bloomington, IN 47408 | 2006-10-04 |
| 1003850322 | Priti V Jindal | Internal Medicine | 2455 N Tamarack Trl, Bloomington, IN 47408 | 2006-06-16 |
| Find all providers in zip 47408 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900781 | Tana Van Meter | Physical Therapist | 3801 General Electric Rd, Bloomington, IL 61704-4182 | 2020-07-27 |
| 1558917088 | Brianna Blohm | Physical Therapist | 822 S Auto Mall Rd, Bloomington, IN 47401-5430 | 2019-08-12 |
| 1740765791 | Holly G Carter | Physical Therapist | 3607 Heirloom Dr, Bloomington, IN 47401 | 2018-09-26 |
| 1336625383 | Heidi Marie Cummins | Physical Therapist | 1402 Leslie Dr, Bloomington, IL 61704-5405 | 2018-07-12 |
| 1831692219 | Molly R Gill | Physical Therapist | 2103 N Veterans Pkwy Ste 332, Bloomington, IL 61704-0917 | 2018-03-13 |
| 1255848388 | Joy Alfonso | Physical Therapist | 450 S Stardust Cir, Bloomington, IN 47403-8707 | 2018-01-10 |
| 1619496536 | Kirsten N Neely | Physical Therapist | 2604 E. Creek's Edge Dr., Bloomington, IN 47401 | 2017-09-12 |
| 1023533908 | Hoosier United Therapy Service LLC | Physical Therapist | 2801 E Plateau Place, Bloomington, IN 47401 | 2017-08-11 |
| 1992231732 | Ethan Blankespoor | Physical Therapist | 3800 American Blvd W # 200, Bloomington, MN 55431-4420 | 2017-05-11 |
| 1649729625 | Emily White | Physical Therapist | 19 Lexis Ct, Bloomington, IL 61704-4814 | 2016-10-01 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47408 |
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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.