OrganizationActive
Athletico Ltd
NPI 1053195990 · Clinic/Center · Oxford, MS
Provider details
- NPI number
- 1053195990
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Juana Granados, Credentialing Manager(630) 575-1980
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2205 Jefferson Davis Dr
Oxford, MS 38655-5221
Phone: (662) 238-2800
Fax: (662) 238-2808
Street-level locationGet directions
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Other names (DBA / former)
- Doing business as
- Athletico Physical Therapy
Registry dates
- Enumerated
- 2023-08-22
- Last updated
- 2023-08-22
- Certified
- 2023-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.