Athletico Ltd
Athletico Ltd is a healthcare organization registered as Clinic/Center in Fenton, MO, holding Type 2 (organization) NPI 1902409386 since 2020. The authorized official on file is Juana Granados, Credentialing Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1902409386 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Athletico Ltd |
| Practice address | 784 GRAVOIS BLUFFS BLVD, Fenton, MO, 63026 |
| Phone | 6363498060 |
| Fax | 6363499171 |
| 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: 1902409386 Taxonomy: 261Q00000X (Clinic/Center) Address: 784 GRAVOIS BLUFFS BLVD, Fenton, MO, 63026
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1437102894 | Prorehab, PC | Organization | Physical Therapy Clinic/Center | Fenton, MO |
| 1457460107 | Mark Roshell | Individual | Physical Therapist | Fenton, MO |
| 1023142650 | Shelia Tenny | Individual | Occupational Therapist | Fenton, MO |
| 1881967214 | Sasha Roschnafsky | Individual | Physical Therapist | Fenton, MO |
| 1750740379 | Kellie Blow | Individual | Physical Therapist | Fenton, MO |
| 1609518398 | Andrea Ford | Individual | Physical Therapist | Fenton, MO |
| 1780300921 | Cassandra Halsted | Individual | Physical Therapist | Fenton, MO |
| 1528847936 | Adam Ernst | Individual | Physical Therapist | Fenton, MO |
Verify this record
Cross-check NPI 1902409386 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 2020-11-18.