ADVANCED SPINE AND SPORT REHABILITATION
NPI 1033277553
Physical Therapist in Mount Pleasant, WI

Active since December 05, 2006
6222 WASHINGTON AVE, MOUNT PLEASANT, WI 53406(262) 884-6418(262) 884-6489 Get Directions Write a Review

NPPES record last updated: January 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Advanced Spine And Sport Rehabilitation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED SPINE AND SPORT REHABILITATION (NPI 1033277553) is a healthcare organization registered as a physical therapist in Mount Pleasant, Wisconsin and active in the NPI registry since December 2006. The organization lists Thomas D Van De Water, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1033277553
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameADVANCED SPINE AND SPORT
Location Address6222 WASHINGTON AVEMount Pleasant, WI 53406-3948
Mailing Address6222 Washington AveMount Pleasant, WI 53406-3948 · (262) 884-6418 · Fax (262) 884-6489
Fax(262) 884-6489
Organization SubpartNo
Authorized OfficialThomas D Van De WaterManaging Partner · (262) 884-6418
Enumeration DateDecember 5, 2006
Last NPPES UpdateJanuary 13, 2024
NPPES CertifiedJanuary 13, 2024
✔ NPI 1033277553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
6222 WASHINGTON AVE, Mount Pleasant, WI 53406

Other Names 1

Doing Business AsAdvanced Spine And Sport Rehabilitation

Other Identifiers 1

Medicaid40427900WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Spine And Sport Rehabilitation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Advanced Spine And Sport Rehabilitation, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Physical Therapist in Private Practice
NPI 1487139259
6222 WASHINGTON AVE
Mount Pleasant, WI 53406
(262) 884-6418
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1811222938
6222 WASHINGTON AVE
Mount Pleasant, WI 53406
(262) 884-6418
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1083772529
6222 WASHINGTON AVE
Mount Pleasant, WI 53406
(262) 884-6418
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1831257369
6222 WASHINGTON AVE
Mount Pleasant, WI 53406
(262) 884-6418
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1619867454
10180 WASHINGTON AVE
Mount Pleasant, WI 53177
(262) 687-7577
✔ Accepts Medicare2.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Spine And Sport's NPI number?

The NPI number for Advanced Spine And Sport is 1033277553. It was assigned to this organization in the NPPES registry on December 5, 2006. The provider is doing business as Advanced Spine And Sport Rehabilitation.

Where is Advanced Spine And Sport located?

Advanced Spine And Sport is located at 6222 Washington Ave, Mount Pleasant, WI 53406. The listed phone number is (262) 884-6418.

What is Advanced Spine And Sport's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Advanced Spine And Sport enrolled in Medicare?

Yes. Advanced Spine And Sport is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Spine And Sport?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Advanced Spine And Sport. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advanced Spine And Sport accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Advanced Spine And Sport as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Spine And Sport was last updated on January 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.