Athletico Physical Therapy is a medicare enrolled "Clinic/center" provider in Edwardsville, Illinois. Their current practice location is
1047 Century Dr, Edwardsville, Illinois. You can reach out to their office (for appointments etc.) via phone at
(618) 307-3434.
Athletico Physical Therapy is licensed to practice in NU (license number ) and it also participates in the medicare program. Athletico Physical Therapy
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1619570074.
Healthcare Provider's Profile
| Full Name | Athletico Physical Therapy |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center |
|---|
| Location | 1047 Century Dr, Edwardsville, Illinois |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619570074
- Provider Enumeration Date: 11/18/2020
- Last Update Date: 11/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 4789602681
- Enrollment ID: O20210201002374
Medical Identifiers
Medical identifiers for Athletico Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619570074 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | (NU) | Secondary |
| 225X00000X | Occupational Therapist | (NU) | Secondary |
| 261Q00000X | Clinic/center | (NU) | 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
enrolled with medicare and thus, if eligible, can 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) 575-6250 | Athletico Physical Therapy 1047 Century Dr, Edwardsville, IL 62025-3772 Ph: (618) 307-3434 |
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