Organization · Type 2 NPI

Athletico Ltd

Clinic/Center · Detroit, MI

NPI number 1902370919 Active

Practice location

1442 Brush St, 1st Floor
Detroit, MI 48226-2285

Call (313) 334-4302 Map

Fax (313) 307-0099

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).

Another provider at this address

Parent Support, LLCLocal Education Agency (LEA) Detroit, MI NPI 1942757661

Other clinic/center providers in Detroit

See all in Detroit →

NPI record

NPI: 1902370919
Entity type: Organization (Type 2)
Issued: Jan 14, 2019
Last updated: Feb 19, 2026
Status: Active

Other names

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

Authorized official

Juana Granados
Credentialing Director
(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.

Is this your record? How to update it.

About NPI 1902370919

Athletico Ltd's National Provider Identifier is 1902370919, issued on Jan 14, 2019. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Detroit, MI. The record was last updated on Feb 19, 2026.