| Athletico, Ltd | |
|
1412 Greenbrier Pkwy Ste 134, Chesapeake, VA 23320-2834 | |
| (757) 609-0600 | |
| (757) 290-6431 |
| Full Name | Athletico, Ltd |
|---|---|
| Type | Facility |
| Speciality | Clinic/center |
| Location | 1412 Greenbrier Pkwy Ste 134, Chesapeake, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699448654 | NPI | - | NPPES |
| Provider Name | Jared L Kuhmerker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164773305 PECOS PAC ID: 2365696945 Enrollment ID: I20130206000654 |
| Provider Name | Sarah E Gillette |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548701824 PECOS PAC ID: 2668749326 Enrollment ID: I20170531000348 |
| Provider Name | Ryan Abshear |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306405048 PECOS PAC ID: 9436485067 Enrollment ID: I20190719001421 |
| Provider Name | Robin C Kananen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710471255 PECOS PAC ID: 6608111844 Enrollment ID: I20200729000603 |
| Provider Name | Brian Whittington |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760648810 PECOS PAC ID: 3577729136 Enrollment ID: I20220302002836 |
| Provider Name | Lorraine A Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619534328 PECOS PAC ID: 2466781133 Enrollment ID: I20220404000633 |
| Provider Name | Lydia Bariteau |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952080343 PECOS PAC ID: 9234588724 Enrollment ID: I20231208002497 |
| Provider Name | Trevor Charles Hall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083455968 PECOS PAC ID: 5991249641 Enrollment ID: I20240705000357 |
| Provider Name | Hannah Rose Moskowitz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154151934 PECOS PAC ID: 5193250520 Enrollment ID: I20241122000333 |
| Mailing Address | Practice Location Address |
|---|---|
| Athletico, Ltd 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-1980 | Athletico, Ltd 1412 Greenbrier Pkwy Ste 134, Chesapeake, VA 23320-2834 Ph: (757) 609-0600 |