ATHLETICO PHYSICAL THERAPY
NPI 1639664857
Clinic/Center in Grandville, MI

NPI Status: Active since June 29, 2018

Contact Information

3819 RIVERTOWN PKWY SW STE 100
GRANDVILLE, MI
ZIP 49418
Phone: (616) 818-0018
Fax: (616) 278-1451

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  • Organization
  • Clinic/Center

About ATHLETICO PHYSICAL THERAPY

This page provides the complete NPI Profile along with additional information for Athletico Physical Therapy, a provider established in Grandville, Michigan operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1639664857 assigned on June 2018. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Athletico Physical Therapy operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Athletico Physical Therapy. The authorized official of this NPI record is Juana Granados (Credentialing Manager)

NPI
1639664857
Provider Legal Name
ATHLETICO LTD
Other Organization Name
ATHLETICO PHYSICAL THERAPY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3819 RIVERTOWN PKWY SW STE 100 GRANDVILLE, MI 49418
Location Phone
(616) 818-0018
Location Fax
(616) 278-1451
Mailing Address
600 OAKMONT LN STE 600C WESTMONT, IL 60559
Mailing Phone
(630) 575-6200
Mailing Fax
(616) 278-1451
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-29-2018
Last Update Date
03-09-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

 
2225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JUANA GRANADOS

Authorized Official Title
CREDENTIALING MANAGER
Authorized Official Phone
(630) 575-1980

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639664857
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26691268810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 2 + 6 + 8 + 8 + 1 + 0 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1639664857 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013636703 IAN LARABEL DPT
Individual
Physical Therapist3819 RIVERTOWN PKWY SW STE 100
GRANDVILLE, MI 49418
(616) 818-0018
1720895972 RYAN MELCHER DPT
Individual
Physical Therapist3819 RIVERTOWN PKWY SW STE 100
GRANDVILLE, MI 49418
(616) 818-0018

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639664857, enumerated in the NPI registry as an "organization" on June 29, 2018

The provider is located at 3819 Rivertown Pkwy Sw Ste 100 Grandville, Mi 49418 and the phone number is (616) 818-0018

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

This NPI record was last updated on June 29, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.