OrganizationActive
Athletico Ltd
NPI 1902409386 · Clinic/Center · Fenton, MO
Provider details
- NPI number
- 1902409386
- 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
Practice location
784 Gravois Bluffs Blvd
Fenton, MO 63026-7726
Phone: (636) 349-8060
Fax: (636) 349-9171
Approximate (ZIP-level) locationGet directions
Mailing address
600 Oakmont Ln Ste 600c
Westmont, IL 60559-5548
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.