Organization
ATHLETICO, LTD
Active
Other names
Athletico Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JUANA GRANADOS (DIRECTOR, CREDENTIALING)
(630) 575-1980
Entity
Organization
Contact information
Practice address
1505 US HIGHWAY 41 STE A20, SCHERERVILLE, IN 46375-1394
(219) 322-5560
(219) 322-1549
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M100038388
MEDICARE PTAN
IN
Enumeration date
11/01/2010
Last updated
05/15/2026
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