| Athletico Ltd | |
|
20800 Arch Street Pike, Hensley, AR 72065-9256 | |
| (501) 261-7722 | |
| Not Available |
| Full Name | Athletico Ltd |
|---|---|
| Type | Facility |
| Speciality | Clinic/center |
| Location | 20800 Arch Street Pike, Hensley, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003563727 | NPI | - | NPPES |
| Provider Name | Jonathan B Randle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225576606 PECOS PAC ID: 0345525820 Enrollment ID: I20170323002651 |
| Provider Name | Madison E Ferrell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922654326 PECOS PAC ID: 1759611569 Enrollment ID: I20190920002141 |
| Provider Name | Mallory B Grant |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659705663 PECOS PAC ID: 9739569674 Enrollment ID: I20220708002136 |
| Provider Name | Holly Calaway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679530455 PECOS PAC ID: 4789064403 Enrollment ID: I20220712000358 |
| Provider Name | Murphy Perkins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043790793 PECOS PAC ID: 8022498740 Enrollment ID: I20220712000426 |
| Provider Name | Rachel Schaefer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164772810 PECOS PAC ID: 7810378452 Enrollment ID: I20220714000096 |
| Provider Name | Adam Carson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487891651 PECOS PAC ID: 4789756925 Enrollment ID: I20220818002456 |
| Provider Name | Peighton S Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811618432 PECOS PAC ID: 1850776139 Enrollment ID: I20220922002709 |
| Provider Name | Cynthia P Weyrens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972225233 PECOS PAC ID: 2668858838 Enrollment ID: I20220927000034 |
| Provider Name | Mack Gregory Pharr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104604792 PECOS PAC ID: 7012362650 Enrollment ID: I20231017001193 |
| Provider Name | Clayton L Jenks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659126811 PECOS PAC ID: 9234579863 Enrollment ID: I20240430003120 |
| Provider Name | Jessica Brady |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285247429 PECOS PAC ID: 9638695695 Enrollment ID: I20250502000916 |
| Mailing Address | Practice Location Address |
|---|---|
| Athletico Ltd 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-6200 | Athletico Ltd 20800 Arch Street Pike, Hensley, AR 72065-9256 Ph: (501) 261-7722 |