Organization
ADVANCED PHYSICAL THERAPY & SPORTS MEDICINE SC
Active
Organization
ADVANCED PHYSICAL THERAPY & SPORTS MEDICINE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLA MEYER (CREDENTIALING SPECIALIST)
(920) 393-2819
Entity
Organization
Contact information
Practice address
2105 E ENTERPRISE AVE # 113, ADVANCED PHYSICAL THERAPY, APPLETON, WI 54913-7862
(920) 991-2561
(920) 991-2563
Mailing address
2105 E ENTERPRISE AVE STE 113, APPLETON, WI 54913-7862
(920) 991-2561
(920) 991-2563
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
08/09/2005
Last updated
03/10/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up