Athletico Physical Therapy – Clinic/Center, NPI 1063015410

Athletico Physical Therapy is a healthcare provider. based in Westmont, Illinois. specializing in Clinic/Center. The NPI Number for Athletico Physical Therapy is 1063015410

Main info

Organization
Name
Athletico Physical Therapy
NPI
1063015410
Phone
(630) 575-6250
Address
600 OAKMONT LN STE 600C
Authorized Official
JUANA GRANADOS CREDENTIALING MANAGER
Enumeration Date
18 November 2020
Last Update Date
18 November 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness80
Years active:5State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Athletico Physical Therapy

  • 600 OAKMONT LN STE 600C

    WESTMONT, IL 605595548

    Phone: (630) 575-6250

    Fax: (630) 575-7450

    Type: Mailing

  • 43 N WAUKEGAN RD

    DEERFIELD, IL 60015

    Phone: (847) 498-1886

    Fax: (847) 498-5090

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-02-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-02-29 (831 days ago).

Enrollment records

1

Earliest due date

2024-02-29

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20210203001954OIndependently-Practicing Physical TherapistIL2024-02-29

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60559)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Athletico Physical Therapy?
Athletico Physical Therapy — NPI 1063015410 — is the standard way to identify this listing.
Is Athletico Physical Therapy listed as active for patients and plans?
The listing shows Athletico Physical Therapy as active in the NPI system.
What is Athletico Physical Therapy's specialty?
The listing groups Athletico Physical Therapy with Clinic/Center. Clinical services aligned with this taxonomy classification.
Where is Athletico Physical Therapy based?
Athletico Physical Therapy is tied to Westmont, Illinois in the data we show; additional addresses may exist on the full record.
Is the information about Athletico Physical Therapy up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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