Provider Demographics
NPI:1982394797
Name:ATHNETIK LLC
Entity Type:Organization
Organization Name:ATHNETIK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:HECKART
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:469-285-9777
Mailing Address - Street 1:905 SERENA DR
Mailing Address - Street 2:
Mailing Address - City:FERRIS
Mailing Address - State:TX
Mailing Address - Zip Code:75125-1246
Mailing Address - Country:US
Mailing Address - Phone:469-285-9777
Mailing Address - Fax:
Practice Address - Street 1:905 SERENA DR
Practice Address - Street 2:
Practice Address - City:FERRIS
Practice Address - State:TX
Practice Address - Zip Code:75125-1246
Practice Address - Country:US
Practice Address - Phone:469-285-9777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-15
Last Update Date:2023-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSportsGroup - Single Specialty
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty