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Athletico Ltd

Athletico Ltd is a healthcare organization registered as Clinic/Center in Farmington, MO, holding Type 2 (organization) NPI 1194328575 since 2020. The authorized official on file is Juana Granados, Credentialing Manager.

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NPI 1194328575
Entity type Organization (Type 2)
Legal business name Athletico Ltd
Practice address 1355 MAPLE ST, Farmington, MO, 63640
Phone 5737569900
Fax 5737569988
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: 1194328575
Taxonomy: 261Q00000X (Clinic/Center)
Address: 1355 MAPLE ST, Farmington, MO, 63640

Providers at this address

NPI Name Type Specialty Location
1760445464 Edward Rinda Individual Physical Therapist Farmington, MO
1922051192 Prorehab, PC Organization Physical Therapy Clinic/Center Farmington, MO
1366640161 Lori Cox Individual Physical Therapist Farmington, MO
1538349113 Amanda Nuyt Individual Physical Therapist Farmington, MO
1518140888 Gerard Catapang Individual Physical Therapist Farmington, MO
1134459225 Crystal Johannsson Individual Physical Therapist Farmington, MO
1821589268 Michael Haynes Individual Physical Therapist Farmington, MO

Verify this record

Cross-check NPI 1194328575 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?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-11-18. Verify at npiregistry.cms.hhs.gov.
Where is Athletico Ltd located?
The practice location on file with NPPES is in Farmington, MO.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-11-18.