Athletico Ltd
NPI 1477224814ActiveOrganization· Clinic/Center· Oxford, MS
Clinic/Center in Oxford, Mississippi, registered in NPPES in September 2021. The authorized official on file is Juana Granados, Director, Credentialing. Enrolled in Medicare as dme supplier - independently-practicing physical therapist and part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1477224814 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 24, 2021 |
| Last updated in NPPES | Aug 11, 2026 |
| Certified by provider | Aug 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
| Physical Therapist | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Independently-Practicing Physical Therapist (MS); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (MS) |
|---|
Other Clinic/Center providers in Oxford
- 1053195990
- 1689835639
- 1669879532
- 1376939975
- 1659070522
- 1326148578
- 1265346621
- 1962990465