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Athletico Ltd

Athletico Ltd is a healthcare organization registered as Clinic/Center in Jackson, MI, holding Type 2 (organization) NPI 1932635869 since 2017. The authorized official on file is Juana Granados, Credentialing Manager.

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NPI 1932635869
Entity type Organization (Type 2)
Legal business name Athletico Ltd
Other name <Unavail>
Practice address 3510 PAGE AVE, Jackson, MI, 49203
Phone 5177815130
Fax 5177815131
Enumeration date 2017-05-11
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
225100000X Physical Therapist Secondary
225X00000X Occupational Therapist Secondary
261Q00000X Clinic/Center Primary
Copy-ready billing details
Provider: Athletico Ltd
NPI: 1932635869
Taxonomy: 261Q00000X (Clinic/Center)
Address: 3510 PAGE AVE, Jackson, MI, 49203

Providers at this address

NPI Name Type Specialty Location
1497014831 Barbara Cliffe-Miller Individual Physical Therapist Jackson, MI

Verify this record

Cross-check NPI 1932635869 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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-03-09. Verify at npiregistry.cms.hhs.gov.
Where is Athletico Ltd located?
The practice location on file with NPPES is in Jackson, MI.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-03-09.