Sports Physical Therapy & Rehab Specialist Sc
NPI 1417455528 · Clinic/Center · Union Grove, WI
Sports Physical Therapy & Rehab Specialist Sc is a Clinic/Center organization in Union Grove, WI (NPI 1417455528).
Provider details
- NPI number
- 1417455528
- 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
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Mailing address
Other names (DBA / former)
- Doing business as
- Athletico Physical Therapy
- Doing business as
- Athletico Physical Therapy
Registry dates
- Enumerated
- 2018-01-24
- Last updated
- 2018-04-06
Frequently asked questions
- What is Sports Physical Therapy & Rehab Specialist Sc's NPI number?
- Sports Physical Therapy & Rehab Specialist Sc's National Provider Identifier (NPI) is 1417455528, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sports Physical Therapy & Rehab Specialist Sc?
- Sports Physical Therapy & Rehab Specialist Sc is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Sports Physical Therapy & Rehab Specialist Sc located?
- Sports Physical Therapy & Rehab Specialist Sc's practice location on file with NPPES is 1201 Main St, Union Grove, WI 53182-1303.
- What is Sports Physical Therapy & Rehab Specialist Sc's phone number?
- The practice phone number listed in the NPPES registry for Sports Physical Therapy & Rehab Specialist Sc is (262) 878-9602.
- Who is the authorized official for Sports Physical Therapy & Rehab Specialist Sc?
- The authorized official listed on Sports Physical Therapy & Rehab Specialist Sc's NPPES record is Juana Granados, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sports Physical Therapy & Rehab Specialist Sc's NPI active?
- Yes — Sports Physical Therapy & Rehab Specialist Sc's NPI (1417455528) is active in the NPPES registry as of the last update on 2018-04-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.