MEDICARE: ATHLETICO LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	225X00000X	Occupational Therapist
3	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1871249631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATHLETICO LTD

Provider Business Mailing Address
First Line	:	2122 YORK RD STE 300
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-1925
Country	:	US
Telephone Number	:	630-575-1980
Fax Number	:	630-928-5080

Provider Business Practice Location Address
First Line	:	12301 S WESTERN AVE STE A3
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73170-6085
Country	:	US
Telephone Number	:	405-200-1869
Fax Number	:	405-200-1873

Authorized Official
Title or Position	:	CREDENTIALING MANAGER
Name	:	JUANA GRANADOS
Credential	:
Telephone Number	:	630-575-1980

Provider Enumeration Date	:	03/01/2022
Last Update Date	:	03/01/2022

Similar Medicare Providers

1184889446 — JARED M ADAMS MD
Practice Location Address:

12301 S WESTERN AVE STE A1
OKLAHOMA CITY, OK
73170-6085

Practice Phone: 405-254-7529
Practice Fax: 405-254-7587

1548620529 — ORTHO PLUS HOLDINGS LLC
Practice Location Address:

12301 S WESTERN AVE STE A3
OKLAHOMA CITY, OK
73170-6085

Practice Phone: 56-768-6434
Practice Fax: 405-676-8644

1023788098 — ORTHO PLUS HOLDINGS LLC
Practice Location Address:

12301 S WESTERN AVE STE A3
OKLAHOMA CITY, OK
73170-6085

Practice Phone: 405-676-8643
Practice Fax: 405-676-8644

1467339879 — NOAH B HAMMONS DPT
Practice Location Address:

12301 S WESTERN AVE STE A3
OKLAHOMA CITY, OK
73170-6085

Practice Phone: 405-200-1869
Practice Fax:

1427994334 — EBENEZERTELEHEALTH
Practice Location Address:

5625 NW 130TH ST
OKLAHOMA CITY, OK
73142-6085

Practice Phone: 405-501-6154
Practice Fax:

1487714762 — MS. ROBIN WILLIAMS WILKINS M.S., CCC-SLP
Practice Location Address:

3407 BIG SKY PASS
MISSOURI CITY, TX
77459-6085

Practice Phone: 832-567-7321
Practice Fax:

Directions to “ATHLETICO LTD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.