Athletico Ltd

Athletico Ltd is a healthcare organization registered as Clinic/Center in Ann Arbor, MI, holding Type 2 (organization) NPI 1104382464 since 2019. The authorized official on file is Juana Granados, Credentialing Manager.

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NPI	1104382464
Entity type	Organization (Type 2)
Legal business name	Athletico Ltd
Other name	<Unavail>
Practice address	4860 WASHTENAW AVE, Ann Arbor, MI, 48108
Phone	7344897995
Fax	7348002155
Enumeration date	2019-02-12
Last updated in NPPES	2020-03-09

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: 1104382464
Taxonomy: 261Q00000X (Clinic/Center)
Address: 4860 WASHTENAW AVE, Ann Arbor, MI, 48108

Providers at this address

NPI	Name	Type	Specialty	Location
1326323387	Angel Care Transportation, LLC.	Organization	Non-emergency Medical Transport (VAN)	Ann Arbor, MI
1215345012	J.A. Consultants, LLC	Organization	Adult Health Nurse Practitioner	Ann Arbor, MI
1699278804	Dental House - Ann Arbor Pllc	Organization	Dental Clinic/Center	Ann Arbor, MI

Verify this record

Cross-check NPI 1104382464 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

Where is Athletico Ltd located?

The practice location on file with NPPES is in Ann Arbor, MI.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-03-09. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-03-09.