Athletico Ltd
NPI 1619570074 · Clinic/Center · Edwardsville, IL
Enrolled with Medicare as Dme Supplier - Independently-Practicing Physical Therapist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Athletico Ltd is a Clinic/Center organization in Edwardsville, IL (NPI 1619570074).
Provider details
- NPI number
- 1619570074
- 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
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Registry dates
- Enumerated
- 2020-11-18
- Last updated
- 2020-11-18
- Certified
- 2020-11-18
Frequently asked questions
- What is Athletico Ltd's NPI number?
- Athletico Ltd's National Provider Identifier (NPI) is 1619570074, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Athletico Ltd?
- Athletico Ltd is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Athletico Ltd located?
- Athletico Ltd's practice location on file with NPPES is 1047 Century Dr, Edwardsville, IL 62025-3772.
- What is Athletico Ltd's phone number?
- The practice phone number listed in the NPPES registry for Athletico Ltd is (618) 307-3434.
- Does Athletico Ltd accept Medicare?
- Athletico Ltd is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Athletico Ltd?
- The authorized official listed on Athletico Ltd'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 Athletico Ltd's NPI active?
- Yes — Athletico Ltd's NPI (1619570074) is active in the NPPES registry as of the last update on 2020-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.