OrganizationActive
Athletico Ltd
NPI 1104510510 · Clinic/Center · Saint Louis, MO
Provider details
- NPI number
- 1104510510
- 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
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
6940 Olive Blvd
Saint Louis, MO 63130-2544
Phone: (314) 781-0679
Approximate (ZIP-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
- 2023-06-07
- Last updated
- 2023-06-07
- Certified
- 2023-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.