| Athletico Physical Therapy | |
|
1140 Howard Street Suite B1 South Bend IN 46617 | |
| (574) 404-8105 | |
| (574) 413-9001 |
| Full Name | Athletico Physical Therapy |
|---|---|
| Speciality | Clinic/center |
| Location | 1140 Howard Street, South Bend, Indiana |
| Authorized Official Name and Position | Juana Granados (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6305751980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Athletico Physical Therapy 2122 York Rd Ste 300 Oak Brook IL 60523-1925 Ph: (630) 575-1980 | Athletico Physical Therapy 1140 Howard Street Suite B1 South Bend IN 46617 Ph: (574) 404-8105 |
| NPI Number | 1770242380 |
|---|---|
| Provider Enumeration Date | 12/10/2021 |
| Last Update Date | 12/10/2021 |
| Certification Date | 12/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770242380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 225100000X | Physical Therapist | (NU) | Secondary |
| 225X00000X | Occupational Therapist | (NU) | Secondary |
Ronald E Grow Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 W Indiana Ave, South Bend, IN 46613 Phone: 574-289-5049 Fax: 574-288-0840 |
Physician Management Services of Indiana II, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 S Saint Louis Blvd Ste 204, South Bend, IN 46617 Phone: 888-829-8550 |
Mcdonald Physical Therapy Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1005 N Hickory Rd, South Bend, IN 46615 Phone: 574-233-5754 Fax: 574-233-7406 |
South Bend Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-299-2450 Fax: 574-299-2415 |
Bendix Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 N Bendix Dr, South Bend, IN 46628 Phone: 574-245-4980 Fax: 574-245-4981 |
Michiana Adult Medical Specialists Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2050 E Ireland Rd, South Bend, IN 46614 Phone: 574-222-2359 Fax: 574-222-2365 |