Organization · Type 2 NPI

Athletico Ltd

Clinic/Center · Fort Worth, TX

NPI number 1376216192 Active

Practice location

2817 W Berry St
Fort Worth, TX 76109-2303

Call (682) 348-3001 Map

Fax (682) 268-5378

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925

Specialties and licenses

Taxonomy	Code	License
Physical Therapist	225100000X	None listed
Occupational Therapist	225X00000X	None listed
Clinic/Center Primary	261Q00000X	None listed

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).

4 other providers at this address

Other clinic/center providers in Fort Worth

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NPI record

NPI: 1376216192
Entity type: Organization (Type 2)
Issued: Jul 28, 2021
Last updated: Oct 8, 2021
Status: Active

Other names

<unavail>
Athletico Physical Therapy · doing business as
Athletico Physical Therapy · doing business as

Authorized official

Juana Granados
Credentialing Manager
(630) 575-1980

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1376216192

Athletico Ltd's National Provider Identifier is 1376216192, issued on Jul 28, 2021. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Fort Worth, TX. The record was last updated on Oct 8, 2021.