Athletico Ltd
NPI 1821085028ActiveOrganization· Physical Therapist· Oak Brook, IL
Physical Therapist in Oak Brook, Illinois, registered in NPPES in October 2005. The authorized official on file is Juana L. Granados, Credentialing Manager. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1821085028 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 3, 2005 |
| Last updated in NPPES | Aug 28, 2026 |
| Certified by provider | Aug 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | IL |
| Occupational Therapist | 225X00000X | — | — |
| Clinic/Center | 261Q00000X | — | — |
| Clinic/Center, Rehabilitation | 261QR0400X | — | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (IA); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (IL); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (IN); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (KS); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (MI); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (OH); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (SD); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (TX); Part B Supplier - Clinic/Group Practice (WI) |
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