Athletico, Ltd
Athletico, Ltd is a healthcare organization registered as Clinic/Center in Lexington, KY, holding Type 2 (organization) NPI 1588339402 since 2021. The authorized official on file is Tasheda Broughton, Manager, Credentialing.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1588339402 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Athletico, Ltd |
| Other name | <Unavail> |
| Practice address | 630 EUCLID AVE STE 140, Lexington, KY, 40502 |
| Phone | 8593039980 |
| Fax | 8593039830 |
| Enumeration date | 2021-08-12 |
| Last updated in NPPES | 2024-12-03 |
Authorized official
| Name | Tasheda Broughton |
|---|---|
| Title | Manager, Credentialing |
| Phone | 2522483313 |
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: 1588339402 Taxonomy: 261Q00000X (Clinic/Center) Address: 630 EUCLID AVE STE 140, Lexington, KY, 40502
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1689386054 | Jonathan Carman | Individual | Physical Therapist | Lexington, KY |
| 1518850247 | Elliott Barton | Individual | Physical Therapy Assistant | Lexington, KY |
Verify this record
Cross-check NPI 1588339402 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 the NPI number for Athletico, Ltd?
Who is the authorized official for Athletico, Ltd?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-12-03.