OrganizationActive
Advanced Physical Therapy & Sports Medicine Sc
NPI 1881183572 · Durable Medical Equipment & Medical Supplies · Green Bay, WI
Provider details
- NPI number
- 1881183572
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Camilla Meyer, Credentialing Specialist(920) 393-2819
Specialties & taxonomies
Suppliers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2223 Lime Kiln Rd
Green Bay, WI 54311-6213
Phone: (920) 965-4715
Fax: (920) 569-1520
Approximate (ZIP-level) locationGet directions
Mailing address
2105 E Enterprise Ave Ste 113
Appleton, WI 54913-7862
Registry dates
- Enumerated
- 2018-05-08
- Last updated
- 2026-03-10
- Certified
- 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.