Athletico Ltd
Athletico Ltd is a healthcare organization registered as Clinic/Center in O Fallon, MO, holding Type 2 (organization) NPI 1083217467 since 2020. The authorized official on file is Juana Granados, Credentialing Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1083217467 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Athletico Ltd |
| Practice address | 951 WATERBURY FALLS DR, O Fallon, MO, 63368 |
| Phone | 6363360300 |
| Fax | 6363360297 |
| Enumeration date | 2020-11-18 |
| Last updated in NPPES | 2020-11-18 |
Authorized official
| Name | Juana Granados |
|---|---|
| Title | Credentialing Manager |
| Phone | 6305751980 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225100000X | Physical Therapist | Secondary | — | — |
| 225X00000X | Occupational Therapist | Secondary | — | — |
| 261Q00000X | Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Athletico Ltd NPI: 1083217467 Taxonomy: 261Q00000X (Clinic/Center) Address: 951 WATERBURY FALLS DR, O Fallon, MO, 63368
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1861594160 | Prorehab, PC | Organization | Physical Therapy Clinic/Center | O Fallon, MO |
| 1477749562 | Michelle Stolin | Individual | Physical Therapist | O Fallon, MO |
| 1740416965 | Benjamin Schaub | Individual | Physical Medicine & Rehabilitation Physician | O Fallon, MO |
| 1023341914 | Stephanie Ward | Individual | Physical Therapist | O Fallon, MO |
| 1578855292 | Andrea Gettman | Individual | Physical Therapist | O Fallon, MO |
| 1770930463 | Donald Thorsen | Individual | Occupational Therapist | O Fallon, MO |
| 1588109078 | Austin Clark | Individual | Student in an Organized Health Care Education/Training Program | O Fallon, MO |
| 1457945156 | Meredith Crosier | Individual | Physical Therapist | O Fallon, MO |
Verify this record
Cross-check NPI 1083217467 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
How current is this record?
Where is Athletico Ltd located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-11-18.