Athletico Ltd

Athletico Ltd is a healthcare organization registered as Clinic/Center in Fort Worth, TX, holding Type 2 (organization) NPI 1477210128 since 2021. The authorized official on file is Juana Granados, Credentialing Manager.

✓ Active NPI ✓ Valid NPI checksum

NPI	1477210128
Entity type	Organization (Type 2)
Legal business name	Athletico Ltd
Practice address	12345 ALTA VISTA RD STE 113, Fort Worth, TX, 76244
Phone	6825932550
Fax	6825828641
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: 1477210128
Taxonomy: 261Q00000X (Clinic/Center)
Address: 12345 ALTA VISTA RD STE 113, Fort Worth, TX, 76244

Providers at this address

NPI	Name	Type	Specialty	Location
1760107809	Jonathon Snow	Individual	Physical Therapist	Fort Worth, TX
1306670864	Angela Vizcaino	Individual	Physical Therapist	Fort Worth, TX
1043148265	Samantha Dapkiewicz	Individual	Physical Therapist	Fort Worth, TX

Verify this record

Cross-check NPI 1477210128 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 Fort Worth, TX.

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.

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