OrganizationActive
Andresource, LLC
NPI 1700068590 · Physical Therapy Clinic/Center · Green Bay, WI
Provider details
- NPI number
- 1700068590
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Todd Andres, Managing Member(920) 497-1515
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1050 Circle Dr
Suite B
Green Bay, WI 54304-5568
Phone: (920) 497-1515
Fax: (920) 497-1513
Street-level locationGet directions
Mailing address
1050 Circle Dr
Green Bay, WI 54304-5568
Registry dates
- Enumerated
- 2007-12-04
- Last updated
- 2011-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.