NPI Portal NPI Lookup & Verification

Athletico Ltd

Athletico Ltd is a healthcare organization registered as Clinic/Center in Commerce Township, MI, holding Type 2 (organization) NPI 1780203091 since 2020. The authorized official on file is Juana Granados, Credentialing Manager.

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NPI 1780203091
Entity type Organization (Type 2)
Legal business name Athletico Ltd
Practice address 3050 UNION LAKE RD STE 3C, Commerce Township, MI, 48382
Phone 2483638267
Fax 2483638367
Enumeration date 2020-04-16
Last updated in NPPES 2020-04-16

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: 1780203091
Taxonomy: 261Q00000X (Clinic/Center)
Address: 3050 UNION LAKE RD STE 3C, Commerce Township, MI, 48382

Providers at this address

NPI Name Type Specialty Location
1093193062 Bret Peters Individual Physical Therapist Commerce Township, MI
1578181244 Ali Stroup Individual Physical Therapist Commerce Township, MI
1578420063 Mikayla Buglione Individual Physical Therapist Commerce Township, MI

Verify this record

Cross-check NPI 1780203091 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 type of organization is Athletico Ltd?
Athletico Ltd is registered in NPPES as a Clinic/Center (its primary provider taxonomy).
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.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-04-16.