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Athletico, Ltd

Athletico, Ltd is a healthcare organization registered as Clinic/Center in Oxford, MS, holding Type 2 (organization) NPI 1477224814 since 2021. The authorized official on file is Juana Granados, Credentialing Manager.

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NPI 1477224814
Entity type Organization (Type 2)
Legal business name Athletico, Ltd
Other name <Unavail>
Practice address 2714 W OXFORD LOOP STE 164, Oxford, MS, 38655
Phone 6622328949
Fax 6622328950
Enumeration date 2021-09-24
Last updated in NPPES 2022-01-11

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: 1477224814
Taxonomy: 261Q00000X (Clinic/Center)
Address: 2714 W OXFORD LOOP STE 164, Oxford, MS, 38655

Providers at this address

NPI Name Type Specialty Location
1528467321 Christopher Glaze Individual Physical Therapist Oxford, MS
1306355490 Jena Cleary Individual Physical Therapist Oxford, MS
1124538863 Endurance Physical Therapy Organization Physical Therapist Oxford, MS
1124788989 Andrew Baker Individual Physical Therapist Oxford, MS

Verify this record

Cross-check NPI 1477224814 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?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Athletico, Ltd?
Athletico, Ltd is registered in NPPES as a Clinic/Center (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-01-11.