Athletico Ltd
Athletico Ltd is a healthcare organization registered as Clinic/Center in Festus, MO, holding Type 2 (organization) NPI 1649873027 since 2020. The authorized official on file is Juana Granados, Credentialing Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1649873027 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Athletico Ltd |
| Practice address | 1300 VETERANS BLVD, Festus, MO, 63028 |
| Phone | 6369312100 |
| Fax | 6369312300 |
| Enumeration date | 2020-11-18 |
| Last updated in NPPES | 2020-11-18 |
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: 1649873027 Taxonomy: 261Q00000X (Clinic/Center) Address: 1300 VETERANS BLVD, Festus, MO, 63028
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1821041211 | Prorehab, PC | Organization | Physical Therapy Clinic/Center | Festus, MO |
| 1437268182 | Ernest Goddard | Individual | Physical Therapist | Festus, MO |
| 1053413674 | Eric Schmitt | Individual | Physical Therapist | Festus, MO |
| 1619154614 | Andrew Kocher | Individual | Physical Therapist | Festus, MO |
| 1851543995 | Paul Kohler | Individual | Occupational Therapist | Festus, MO |
| 1568616522 | Kristine Decollo | Individual | Physical Therapist | Festus, MO |
| 1609223221 | Jena Clancy | Individual | Physical Therapist | Festus, MO |
| 1831670249 | Jacob Graham | Individual | Physical Therapist | Festus, MO |
Verify this record
Cross-check NPI 1649873027 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
Who is the authorized official for Athletico Ltd?
What is the NPI number for Athletico Ltd?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-11-18.