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 1619570074

Athletico Ltd is a Physical Therapist in Edwardsville, Illinois. Registered with an NPI since 2020.

In the registry since
2020
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

1047 Century Dr
Edwardsville, IL 62025-3772
Phone: (618) 307-3434
Fax: (618) 307-3435
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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 number1619570074
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juana Granados — Credentialing Manager · (630) 575-1980
Other names Athletico Physical Therapy
NPI enumeratedNovember 18, 2020
Last updated in NPPESNovember 18, 2020
Certification dateNovember 18, 2020
Mailing address600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548

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