OrganizationActive
Advanced Physical Therapy & Sports Medicine Sc
NPI 1407857790 · Physical Medicine & Rehabilitation Physician · Appleton, WI
Provider details
- NPI number
- 1407857790
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Camilla Meyer, Credentialing Specialist
Practice location
2105 E Enterprise Ave # 113
Advanced Physical Therapy
Appleton, WI 54913-7862
Phone: (920) 991-2561
Fax: (920) 991-2563
Mailing address
2105 E Enterprise Ave Ste 113
Appleton, WI 54913-7862
Registry dates
- Enumerated
- 2005-08-09
- Last updated
- 2026-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.