OrganizationActive
Athletico Ltd
NPI 1992649123 · Clinic/Center · Kenosha, WI
Provider details
- NPI number
- 1992649123
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Juana Granados, Director, Credentialing(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
6926 39th Ave
Kenosha, WI 53142-7128
Phone: (262) 942-0163
Fax: (262) 697-1576
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
- 2026-04-17
- Last updated
- 2026-04-17
- Certified
- 2026-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.