Athletico, Ltd
Athletico, Ltd is a healthcare organization registered as Clinic/Center in Warner Robins, GA, holding Type 2 (organization) NPI 1104593821 since 2021. The authorized official on file is Juana Granados, Credentialing Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104593821 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Athletico, Ltd |
| Practice address | 1117 GA HWY 96, Warner Robins, GA, 31088 |
| Phone | 4783520200 |
| Fax | 4783687124 |
| Enumeration date | 2021-08-30 |
| Last updated in NPPES | 2021-08-30 |
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: 1104593821 Taxonomy: 261Q00000X (Clinic/Center) Address: 1117 GA HWY 96, Warner Robins, GA, 31088
Verify this record
Cross-check NPI 1104593821 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
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Where is Athletico, Ltd located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-08-30.