Athletico Ltd
Athletico Ltd is a healthcare organization registered as Clinic/Center in Grand Rapids, MI, holding Type 2 (organization) NPI 1609388800 since 2017. The authorized official on file is Juana Granados, Credentialing Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1609388800 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Athletico Ltd |
| Other name | <Unavail> |
| Practice address | 2807 LAKE MICHIGAN DR NW STE 1, Grand Rapids, MI, 49504 |
| Phone | 6166491577 |
| Fax | 6162289578 |
| Enumeration date | 2017-10-27 |
| Last updated in NPPES | 2020-03-09 |
Authorized official
| Name | Juana Granados |
|---|---|
| Title | Credentialing Manager |
| Phone | 6305751980 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | Secondary | — | — |
| 225100000X | Physical Therapist | Secondary | — | — |
| 261Q00000X | Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Athletico Ltd NPI: 1609388800 Taxonomy: 261Q00000X (Clinic/Center) Address: 2807 LAKE MICHIGAN DR NW STE 1, Grand Rapids, MI, 49504
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1912676677 | Madison Polen | Individual | Physical Therapist | Grand Rapids, MI |
| 1629954961 | Abigail Keller | Individual | Physical Therapist | Grand Rapids, MI |
| 1114882669 | Jenny Noll | Individual | Physical Therapist | Grand Rapids, MI |
Verify this record
Cross-check NPI 1609388800 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?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-03-09.