Athletico Physical Therapy is a
Clinic/center based in Grand Rapids, Michigan. Athletico Physical Therapy is licensed to practice in * (Not Available) (license number ) and their current practice location is
2807 Lake Michigan Dr Nw Ste 1, Grand Rapids, Michigan. It can be reached at their office (for appointments etc.) via phone at
(616) 649-1577.
NPI number for Athletico Physical Therapy is 1609388800 and their current mailing address is 600 Oakmont Ln Ste 600c, Westmont, Illinois. Athletico Physical Therapy
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1609388800.
Healthcare Provider's Profile
| Full Name | Athletico Physical Therapy |
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| Type | Facility |
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| Speciality | Clinic/center |
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| Location | 2807 Lake Michigan Dr Nw Ste 1, Grand Rapids, Michigan |
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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: 1609388800
- Provider Enumeration Date: 10/27/2017
- Last Update Date: 03/09/2020
Medical Identifiers
Medical identifiers for Athletico Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609388800 | 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 Physical Therapy 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 Physical Therapy
600 Oakmont Ln Ste 600c,
Westmont, IL 60559-5548
Ph: (630) 575-1980 | Athletico Physical Therapy
2807 Lake Michigan Dr Nw Ste 1,
Grand Rapids, MI 49504-5856
Ph: (616) 649-1577 |
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