Advanced Physical Therapy & Sports Medicine Sc
NPI 1407857790 · Physical Medicine & Rehabilitation Physician · Appleton, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advanced Physical Therapy & Sports Medicine Sc is a Physical Medicine & Rehabilitation Physician organization in Appleton, WI (NPI 1407857790).
Provider details
- NPI number
- 1407857790
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Camilla Meyer, Credentialing Specialist(920) 393-2819
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Suppliers
- Physical Therapy Clinic/Center261QP2000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-09
- Last updated
- 2026-03-10
- Certified
- 2026-03-10
Frequently asked questions
- What is Advanced Physical Therapy & Sports Medicine Sc's NPI number?
- Advanced Physical Therapy & Sports Medicine Sc's National Provider Identifier (NPI) is 1407857790, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Physical Therapy & Sports Medicine Sc?
- Advanced Physical Therapy & Sports Medicine Sc is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Advanced Physical Therapy & Sports Medicine Sc located?
- Advanced Physical Therapy & Sports Medicine Sc's practice location on file with NPPES is 2105 E Enterprise Ave # 113, Appleton, WI 54913-7862.
- What is Advanced Physical Therapy & Sports Medicine Sc's phone number?
- The practice phone number listed in the NPPES registry for Advanced Physical Therapy & Sports Medicine Sc is (920) 991-2561.
- Does Advanced Physical Therapy & Sports Medicine Sc accept Medicare?
- Advanced Physical Therapy & Sports Medicine Sc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Advanced Physical Therapy & Sports Medicine Sc?
- The authorized official listed on Advanced Physical Therapy & Sports Medicine Sc's NPPES record is Camilla Meyer, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Physical Therapy & Sports Medicine Sc's NPI active?
- Yes — Advanced Physical Therapy & Sports Medicine Sc's NPI (1407857790) is active in the NPPES registry as of the last update on 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.