Athletico, Ltd is a
Clinic/center - Multi-specialty based in Sussex, Wisconsin. Athletico, Ltd is licensed to practice in * (Not Available) (license number ) and their current practice location is
N63w23675 Main St, Sussex, Wisconsin. It can be reached at their office (for appointments etc.) via phone at
(262) 342-0062.
NPI number for Athletico, Ltd is 1932713146 and their current mailing address is 600 Oakmont Ln Ste 600c, Westmont, Illinois. Athletico, Ltd
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1932713146.
Healthcare Provider's Profile
| Full Name | Athletico, Ltd |
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| Type | Facility |
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| Speciality | Clinic/center - Multi-specialty |
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| Location | N63w23675 Main St, Sussex, Wisconsin |
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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: 1932713146
- Provider Enumeration Date: 09/04/2020
- Last Update Date: 09/04/2020
Medical Identifiers
Medical identifiers for Athletico, Ltd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932713146 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (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
600 Oakmont Ln Ste 600c,
Westmont, IL 60559-5548
Ph: (630) 575-6250 | Athletico, Ltd
N63w23675 Main St,
Sussex, WI 53089
Ph: (262) 342-0062 |
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