ADVANCED PHYSICAL THERAPY & SPORTS MEDICINE SC
NPI 1407857790
Physical Medicine & Rehabilitation in Appleton, WI

Active since August 09, 2005
2105 E ENTERPRISE AVE # 113, ADVANCED PHYSICAL THERAPY, APPLETON, WI 54913(920) 991-2561(920) 991-2563 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 10, 2026, Dec 18, 2025, Jul 26, 2024 and 3 more (6 updates tracked since 2016).

About Advanced Physical Therapy & Sports Medicine Sc NPPES

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

ADVANCED PHYSICAL THERAPY & SPORTS MEDICINE SC (NPI 1407857790) is a healthcare organization registered as a physical medicine & rehabilitation in Appleton, Wisconsin and active in the NPI registry since August 2005. The organization lists Camilla Meyer, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1407857790
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NameADVANCED PHYSICAL THERAPY & SPORTS MEDICINE SC
Location Address2105 E ENTERPRISE AVE # 113, ADVANCED PHYSICAL THERAPYAppleton, WI 54913-7862
Mailing Address2105 E Enterprise Ave Ste 113Appleton, WI 54913-7862 · (920) 991-2561 · Fax (920) 991-2563
Fax(920) 991-2563
Organization SubpartNo
Authorized OfficialCamilla MeyerCredentialing Specialist · (920) 393-2819
Enumeration DateAugust 9, 2005
Last NPPES UpdateMarch 10, 20266 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
✔ NPI 1407857790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
2105 E ENTERPRISE AVE # 113, Appleton, WI 54913

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 Physical Therapy & Sports Medicine Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

69

Medicare enrollment records show 69 clinicians reassign Medicare billing to Advanced Physical Therapy & Sports Medicine Sc, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 26 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Physical Therapist in Private Practice62
Occupational Therapist in Private Practice6
Physical Medicine and Rehabilitation1

Nearest to this location (20)

See all 69
Occupational Therapist in Private Practice
NPI 1174504922
2105 E ENTERPRISE AVE STE 113
Appleton, WI 54913
(920) 991-2561
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1164787446
2105 E ENTERPRISE AVE STE 113
Appleton, WI 54913
(920) 991-2561
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1215481353
2105 E ENTERPRISE AVE STE 113
Appleton, WI 54913
(920) 991-2561
✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1457825077
2105 E ENTERPRISE AVE STE 113
Appleton, WI 54913
(920) 991-2561
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1407549082
2105 E ENTERPRISE AVE
Appleton, WI 54913
(920) 991-2561
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1275760951
2105 E ENTERPRISE AVE
Appleton, WI 54913
(920) 991-2561
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1003587536
2105 N ENTERPRISE AVE
Appleton, WI 54913
(920) 560-1000
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1811999584
2105 E ENTERPRISE AVE # 113 ADVANCED PHYSICAL THERAPY
Appleton, WI 54913
(920) 991-2561
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1134121858
2105 E ENTERPRISE AVE # 113 ADVANCED PHYSICAL THERAPY
Appleton, WI 54913
(920) 991-2561
✔ Accepts Medicare0.1 mi
Physical Therapist in Private Practice
NPI 1215376090
2105 E ENTERPRISE AVE STE 113
Appleton, WI 54913
(920) 991-2561
✔ Accepts Medicare0.1 mi
Physical Therapist in Private Practice
NPI 1659566537
1818 N MEADE ST
Appleton, WI 54911
(920) 731-4101
✔ Accepts Medicare1.8 mi
Physical Therapist in Private Practice
NPI 1912344417
W3124 VAN ROY RD
Appleton, WI 54915
(920) 968-1010
✔ Accepts Medicare3.2 mi
Physical Therapist in Private Practice
NPI 1174922744
W3124 VAN ROY RD
Appleton, WI 54915
(920) 968-1010
✔ Accepts Medicare3.2 mi
Physical Therapist in Private Practice
NPI 1023520889
W3124 VAN ROY RD
Appleton, WI 54915
(920) 968-1010
✔ Accepts Medicare3.2 mi
Physical Therapist in Private Practice
NPI 1326040056
W3124 VAN ROY RD
Appleton, WI 54915
(920) 968-1010
✔ Accepts Medicare3.2 mi
Physical Therapist in Private Practice
NPI 1265325849
W3124 VAN ROY RD
Appleton, WI 54915
(920) 968-1010
✔ Accepts Medicare3.2 mi
Physical Therapist in Private Practice
NPI 1811974306
1640 N CASALOMA DR
Appleton, WI 54913
(920) 903-8545
✔ Accepts Medicare5.3 mi
Physical Therapist in Private Practice
NPI 1114002623
1640 N CASALOMA DR
Appleton, WI 54913
(920) 903-8545
✔ Accepts Medicare5.3 mi
Physical Therapist in Private Practice
NPI 1447219845
1640 N CASALOMA DR
Appleton, WI 54913
(920) 560-1147
✔ Accepts Medicare5.3 mi
Occupational Therapist in Private Practice
NPI 1043473788
2601 TOUCHMARK DR STE 54
Appleton, WI 54914
(920) 903-8545
✔ Accepts Medicare5.8 mi
See all 69 clinicians

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 Physical Therapy & Sports Medicine Sc's NPI number?

The NPI number for Advanced Physical Therapy & Sports Medicine Sc is 1407857790. It was assigned to this organization in the NPPES registry on August 9, 2005.

Where is Advanced Physical Therapy & Sports Medicine Sc located?

Advanced Physical Therapy & Sports Medicine Sc is located at 2105 E Enterprise Ave # 113 Advanced Physical Therapy, Appleton, WI 54913. The listed phone number is (920) 991-2561.

What is Advanced Physical Therapy & Sports Medicine Sc's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Advanced Physical Therapy & Sports Medicine Sc enrolled in Medicare?

Yes. Advanced Physical Therapy & Sports Medicine Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Physical Therapy & Sports Medicine Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 69 clinicians in 3 Medicare specialties reassign their Medicare billing to Advanced Physical Therapy & Sports Medicine Sc. 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. The largest specialties are Physical Therapist in Private Practice (62), Occupational Therapist in Private Practice (6) and Physical Medicine and Rehabilitation (1). Of these, 8 practice at this address and 26 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advanced Physical Therapy & Sports Medicine Sc accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Network Health, Quartz and Security Health Plan list Advanced Physical Therapy & Sports Medicine Sc 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 Physical Therapy & Sports Medicine Sc was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.