ATHLETICO LTD (NPI# 1821471988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821471988 |
| Entity Type | Organization |
| Organization Name | ATHLETICO LTD |
| Other Organization Name | ATHLETICO PHYSICAL THERAPY |
| Practice Address |
823 W Michigan Ave Marshall MI 49068-1445 |
| Mailing Address |
625 Enterprise Dr Oak Brook IL 60523-8813 |
| Practice Telephone | 2692484300 |
| Mailing Telephone | 6305756200 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2020-02-11 |
| 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 | IL | 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 |
823 W MICHIGAN AVE |
| City | MARSHALL |
| State | MI |
| Zip Code | 49068-1445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225447659 | Charles Middleton | Physical Therapist | 823 W Michigan Ave, Marshall, MI 49068 | 2014-08-11 |
| 1487151627 | Brandon Mazzola | Occupational Therapist | 823 W Michigan Ave, Marshall, MI 49068-1445 | 2018-04-12 |
| 1558885038 | Jillian Thompson | Physical Therapist | 823 W Michigan Ave, Marshall, MI 49068-1445 | 2017-07-27 |
| 1508303702 | Sydney Saban | Occupational Therapist | 823 W Michigan Ave, Marshall, MI 49068-1445 | 2017-01-25 |
| 1609324938 | Adam Scott Gilbertson | Physical Therapist | 823 W Michigan Ave, Marshall, MI 49068-1445 | 2016-09-15 |
| 1851773311 | Paul Bowen | Physical Therapist | 823 W Michigan Ave, Marshall, MI 49068-1445 | 2015-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003413774 | Mikeayla Pellegrino | Speech-Language Pathologist | 103 E Mansion St Ricketson Building, Marshall, MI 49068 | 2020-10-06 |
| 1306499108 | Kari Ann Scarbrough | Nurse Practitioner | 200 N Madison, Marshall, MI 49068 | 2019-07-20 |
| 1164994976 | Emily Thrower | Advanced Practice Midwife | 215 E. Mansion Street, Suite 3d, Marshall, MI 49068 | 2018-12-19 |
| 1205359106 | Alexandrea Jade Garbus | Advanced Practice Midwife | 215 E Mansion St Ste 3d, Marshall, MI 49068 | 2017-07-23 |
| 1861948671 | Jaina Schank | Occupational Therapist | 879 E Michigan Avenue, Medilodge of Marshall, Marshall, MI 49068 | 2016-08-31 |
| 1609234426 | Maria Miller | Dental Hygienist | 111 N. Jefferson St, Suite 1, Marshall, MI 49068 | 2016-02-08 |
| 1235594342 | Shelly Wisz | Nurse Practitioner | 720 Old Us 27 North, Marshall, MI 49068 | 2015-12-17 |
| 1952662538 | Angela Louise Robin | Podiatrist | 1600 S Kalamazoo Ave, Marshall, MI 49068 | 2012-05-31 |
| 1245598606 | Ziad Kanaan | Internal Medicine | 215 E Mansion St Ste 3a, Marshall, MI 49068 | 2012-04-24 |
| 1598089542 | Mansion Street Womens Health Pllc | Obstetrics & Gynecology | 215 E Mansion St., Suite 3d, Marshall, MI 49068 | 2010-03-19 |
| Find all providers in zip 49068 | ||||
| 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 |
|---|---|---|---|---|
| 1598952749 | King Chiropractic Clinic, Ltd. | Clinic/Center | 511 Locust St, Marshall, IL 62441-1459 | 2007-10-02 |
| 1134752140 | John Fitzgibbon Memorial Hospital, Inc. | Clinic/Center | 4 N Jefferson Ave, Marshall, MO 65340-2148 | 2020-02-18 |
| 1780077065 | John Fitzgibbon Memorial Hospital, Inc. | Clinic/Center | 2305 South 65 Highway, Marshall, MO 65340-3702 | 2015-03-11 |
| 1710320643 | A Pattern Health Clinic, Inc | Clinic/Center | 1674 S Odell Ave, Marshall, MO 65340-3365 | 2013-04-10 |
| 1215169917 | Progressive Chiropractic & | Clinic/Center | 1203 E Pinecrest Dr, Marshall, TX 75670-7355 | 2009-08-13 |
| 1629224514 | South Michigan Ophthalmology P C | Clinic/Center | 830 W Michigan Ave, Marshall, MI 49068-1446 | 2008-08-12 |
| 1558388173 | John Fitzgibbon Memorial Hospital, Inc. | Clinic/Center | 2305 S 65 Highway, Marshall, MO 65340-3702 | 2006-07-17 |
| 1710904347 | John Fitzgibbon Memorial Hospital, Inc. | Clinic/Center | 2305 South 65 Highway, Building A, Marshall, MO 65340-3702 | 2006-07-17 |
| 1437175320 | John Fitzgibbon Memorial Hospital, Inc. | Clinic/Center | 2305 South 65 Highway, Building A, Marshall, MO 65340-3702 | 2006-07-14 |
| 1285650176 | John Fitzgibbon Memorial Hospital Inc. | Clinic/Center | 2305 S 65 Highway, Marshall, MO 65340-3702 | 2006-07-14 |
| Find all providers in MARSHALL | ||||
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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.