Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Athletico Ltd

Organization Physical Therapist · NPI 1225608359

Athletico Ltd is a Physical Therapist in Southlake, Texas. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

480 W Southlake Blvd Ste 111
Southlake, TX 76092-6167
Phone: (817) 778-9910
Fax: (817) 203-0337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1225608359
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juana Granados — Credentialing Manager · (630) 575-1980
Other names Athletico Physical Therapy
NPI enumeratedJune 30, 2021
Last updated in NPPESJune 30, 2021
Certification dateJune 30, 2021
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

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