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

Athletico Ltd

Organization Physical Therapist · NPI 1396105581

Athletico Ltd is a Physical Therapist in Grand Rapids, Michigan. Registered with an NPI since 2016.

In the registry since
2016
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

5925 28th St SE
Grand Rapids, MI 49546-6955
Phone: (616) 977-5700
Fax: (630) 928-5032
Show map & directions

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 number1396105581
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juana Granados — Credentialing Manager · (630) 575-1980
Other names Athletico Physical Therapy; Athletico Physical Therapy
NPI enumeratedMarch 1, 2016
Last updated in NPPESMarch 9, 2020
Certification dateMarch 9, 2020
Mailing address600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548

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