ADVANCED PHYSICAL THERAPY & SPORTS MEDICINE SC
NPI 1538858857
Durable Medical Equipment & Medical Supplies in Grand Chute, WI

Active since May 03, 2023
5000 W CHAMPION DR, GRAND CHUTE, WI 54913(920) 560-1123(920) 202-3535 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 10, 2026, Dec 18, 2025, May 3, 2023 (3 updates tracked since 2023).

  • Organization
  • Durable Medical Equipment & Medical Supp...

About ADVANCED PHYSICAL THERAPY & SPORTS MEDICINE SC

This page provides the complete NPI Profile along with additional information for Advanced Physical Therapy & Sports Medicine Sc, a provider established in Grand Chute, Wisconsin operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1538858857 assigned on May 2023. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated March 2026. Advanced Physical Therapy & Sports Medicine Sc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Camilla Meyer (Credentialing Specialist)

NPI
1538858857 Verify this NPI
Provider Name
ADVANCED PHYSICAL THERAPY & SPORTS MEDICINE SC
Entity Type
Organization
Location Address
5000 W CHAMPION DR GRAND CHUTE, WI 54913
Location Phone
(920) 560-1123
Location Fax
(920) 202-3535
Mailing Address
2105 E ENTERPRISE AVE STE 113 APPLETON, WI 54913
Mailing Phone
(920) 991-2561
Mailing Fax
(920) 991-2563
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-03-2023
Last Update Date
03-10-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

 
2225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CAMILLA MEYER

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(920) 393-2819

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538858857, enumerated as an "organization" on May 03, 2023.

The provider is located at 5000 W CHAMPION DR GRAND CHUTE, WI 54913 and the phone number is (920) 560-1123.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.