Athletico Ltd is a
Clinic/center based in Ecru, Mississippi. Athletico Ltd is licensed to practice in * (Not Available) (license number ) and their current practice location is
5532 Highway 15 N Ste 4, Ecru, Mississippi. It can be reached at their office (for appointments etc.) via phone at
(662) 489-4418.
NPI number for Athletico Ltd is 1053027888 and their current mailing address is 2122 York Rd Ste 300, Oak Brook, Illinois. Athletico Ltd
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1053027888.
Healthcare Provider's Profile
| Full Name | Athletico Ltd |
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| Type | Facility |
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| Speciality | Clinic/center |
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| Location | 5532 Highway 15 N Ste 4, Ecru, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1053027888
- Provider Enumeration Date: 01/25/2023
- Last Update Date: 01/25/2023
Medical Identifiers
Medical identifiers for Athletico Ltd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053027888 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Athletico Ltd is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Athletico Ltd
2122 York Rd Ste 300,
Oak Brook, IL 60523-1925
Ph: (630) 575-1980 | Athletico Ltd
5532 Highway 15 N Ste 4,
Ecru, MS 38841-8481
Ph: (662) 489-4418 |
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