Athletico Ltd
Athletico Ltd is a healthcare organization registered as Clinic/Center in Oxford, MS, holding Type 2 (organization) NPI 1053195990 since 2023. The authorized official on file is Juana Granados, Credentialing Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1053195990 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Athletico Ltd |
| Practice address | 2205 JEFFERSON DAVIS DR, Oxford, MS, 38655 |
| Phone | 6622382800 |
| Fax | 6622382808 |
| Enumeration date | 2023-08-22 |
| Last updated in NPPES | 2023-08-22 |
Authorized official
| Name | Juana Granados |
|---|---|
| Title | Credentialing Manager |
| Phone | 6305751980 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Athletico Ltd NPI: 1053195990 Taxonomy: 261Q00000X (Clinic/Center) Address: 2205 JEFFERSON DAVIS DR, Oxford, MS, 38655
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1538104153 | Cornerstone Rehabilitation of Oxford, Inc | Organization | Physical Therapist | Oxford, MS |
| 1437185188 | Brian Wicker | Individual | Physical Therapist | Oxford, MS |
| 1003842634 | Andrew Buglewicz | Individual | Physical Therapist | Oxford, MS |
| 1598791956 | Miriam Wicker | Individual | Physical Therapist | Oxford, MS |
| 1689603904 | Sally Clancy | Individual | Physical Therapist | Oxford, MS |
| 1538198163 | Kelly Shinall | Individual | Physical Therapist | Oxford, MS |
| 1063525590 | Amanda Tosh | Individual | Speech-Language Pathologist | Oxford, MS |
| 1083806327 | Vance Holland | Individual | Athletic Trainer | Oxford, MS |
Verify this record
Cross-check NPI 1053195990 against the authoritative CMS record: view Athletico Ltd on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Athletico Ltd?
Who is the authorized official for Athletico Ltd?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-08-22.