Athletico Ltd
Athletico Ltd is a healthcare organization registered as Clinic/Center in Coppell, TX, holding Type 2 (organization) NPI 1104590496 since 2021. The authorized official on file is Juana Granados, Credentialing Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104590496 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Athletico Ltd |
| Practice address | 230 N DENTON TAP RD STE 104, Coppell, TX, 75019 |
| Phone | 4697025972 |
| Fax | 4694205266 |
| Enumeration date | 2021-08-02 |
| Last updated in NPPES | 2021-08-02 |
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: 1104590496 Taxonomy: 261Q00000X (Clinic/Center) Address: 230 N DENTON TAP RD STE 104, Coppell, TX, 75019
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1902421399 | Melissa Seitz | Individual | Physical Therapist | Coppell, TX |
| 1730824657 | Taylor Werner | Individual | Physical Therapist | Coppell, TX |
| 1245002245 | Rauna Dallman | Individual | Physical Therapist | Coppell, TX |
Verify this record
Cross-check NPI 1104590496 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 a Type 2 NPI?
What type of organization is Athletico Ltd?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-08-02.