NPI Portal NPI Lookup & Verification

Athletico Ltd

Athletico Ltd is a healthcare organization registered as Clinic/Center in Waco, TX, holding Type 2 (organization) NPI 1386301083 since 2021. The authorized official on file is Juana Granados, Credentialing Manager.

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NPI 1386301083
Entity type Organization (Type 2)
Legal business name Athletico Ltd
Practice address 1011 S 10TH ST STE 130, Waco, TX, 76706
Phone 2542945924
Fax 2543272014
Enumeration date 2021-11-17
Last updated in NPPES 2021-11-17

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: 1386301083
Taxonomy: 261Q00000X (Clinic/Center)
Address: 1011 S 10TH ST STE 130, Waco, TX, 76706

Providers at this address

NPI Name Type Specialty Location
1811642119 Joshua Gordon Individual Physical Therapist Waco, TX
1912617440 Takuto Nakagawa Individual Physical Therapist Waco, TX
1619784709 Lauren Jury Individual Physical Therapist Waco, TX

Verify this record

Cross-check NPI 1386301083 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 2021-11-17. Verify at npiregistry.cms.hhs.gov.
Where is Athletico Ltd located?
The practice location on file with NPPES is in Waco, TX.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-11-17.