ATHLETICO LTD (NPI# 1780203091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780203091 |
| Entity Type | Organization |
| Organization Name | ATHLETICO LTD |
| Practice Address |
3050 Union Lake Rd Ste 3c Commerce Township MI 48382-4563 |
| Mailing Address |
600 Oakmont Ln Ste 600c Westmont IL 60559-5548 |
| Practice Telephone | 2483638267 |
| Practice Fax Number | 2483638367 |
| Mailing Telephone | 6305756250 |
| Mailing Fax Number | 6305757450 |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-16 |
| 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 | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225100000X | Physical 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 |
| 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 |
| 1063055598 | Athletico Ltd | Physical Therapist | 701 N Elida St, Suite 1, Winnebago, IL 61088-8624 | 2019-10-28 |
| Street Address |
3050 UNION LAKE RD STE 3C |
| City | COMMERCE TOWNSHIP |
| State | MI |
| Zip Code | 48382-4563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700373933 | Kevin Piper | Occupational Therapist | 3517 Clark Circle, Commerce, MI 48382 | 2018-04-13 |
| 1215483953 | Jodi Lynn Van Proeyen | Community Health Worker | 8749 Buckskin Drive, Commerce Township, MI 48382 | 2016-09-01 |
| 1912382532 | Lindsay Anne Brossy | Nurse Practitioner | 8906 Commerce Rd Unit 5, Commerce Twp, MI 48382 | 2015-07-24 |
| 1386991008 | Joao Najar | Dentist | 1440 Woodview Lane, Commerce, MI 48382 | 2012-08-13 |
| 1275828709 | Stacy Ann Madany | Physician Assistant | 9640 Commerce Road, Suite 100, Commerce, MI 48382 | 2011-06-13 |
| 1801038740 | Kent C. Bowden Do Pllc | Surgery | 1 William Carls Drive, Huron Valley Sinai Hospital, Commerce, MI 48382 | 2009-03-24 |
| 1982895207 | Stephanie Lee Adams | Specialist/Technologist | 8391 E. Commerce Rd., Suite 108, Commerce Township, MI 48382 | 2007-08-05 |
| 1780890459 | William Lee Thompson | Dentist | 2900 Union Lake Rd Ste 105, Commerce Township, MI 48382 | 2007-05-16 |
| 1184836082 | Kadima Jewish Support Services for Adults With Mental Illness | Community/Behavioral Health | 15999 West 12 Mile Road, Southfield, MI 48382 | 2007-05-04 |
| 1821132945 | Alan Elliot Parven | Optometrist | 3000 Commerce Crossing Rd, Commerce Township, MI 48382 | 2007-02-20 |
| Find all providers in zip 48382 | ||||
| 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 |
|---|---|---|---|---|
| 1235730664 | Edward W. Sparrow Hospital Association | Clinic/Center | 2900 Hannah Blvd Ste 204, East Lansing, MI 48823-5382 | 2020-11-03 |
| 1952909558 | Quilted Rose Clinical Services, Pllc | Clinic/Center | 269 Walker St Ste 256, Detroit, MI 48207-4258 | 2020-10-15 |
| 1386250694 | A Better Me Therapy, LLC | Clinic/Center | 2503 S Linden Rd Ste 259, Flint, MI 48532-5462 | 2020-09-22 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1659985042 | Passion and Purpose Pediatrics | Clinic/Center | 2944 Olden Oak Ln Apt 204, Auburn Hills, MI 48326-2177 | 2020-09-02 |
| 1710597745 | Renew Child and Family Center | Clinic/Center | 383 Starkweather St, Plymouth, MI 48170-1382 | 2020-08-04 |
| 1467075358 | Shear Pointe Inc | Clinic/Center | 1971 E 14 Mile Rd, Birmingham, MI 48009-7244 | 2020-05-26 |
| 1992326466 | New Healthcare PC | Clinic/Center | 911 Dix St Ste B, Otsego, MI 49078-1609 | 2020-05-06 |
| 1851920581 | Emotional Wellness Group LLC | Clinic/Center | 11956 E Outer Dr, Detroit, MI 48224-2630 | 2020-04-04 |
| 1003445800 | Dr. Chris Popp, PC | Clinic/Center | 107 Aprill Dr Ste 5, Ann Arbor, MI 48103-1956 | 2020-04-03 |
| Find all providers with the same taxonomy | ||||
| City | COMMERCE TOWNSHIP |
| Zip Code | 48382 |
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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.