ADVANCED PHYSICAL THERAPY & SPORTS MEDICINE SC
NPI 1639661119
Durable Medical Equipment & Medical Supplies in Marinette, WI

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

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since May 31, 2018

1931 MARINETTE AVE, MARINETTE, WI 54143(715) 735-5500(715) 735-5502 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 26, 2026, Dec 18, 2025, Nov 2, 2022 (3 updates tracked since 2022).

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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 1639661119) is a healthcare organization registered as a durable medical equipment & medical supplies in Marinette, Wisconsin and active in the NPI registry since May 2018. The organization lists Camilla Meyer, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1639661119

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameADVANCED PHYSICAL THERAPY & SPORTS MEDICINE SC

Location Address1931 MARINETTE AVEMarinette, WI 54143-3801

Mailing Address2105 E Enterprise Ave Ste 113Appleton, WI 54913-7862 · (920) 560-1083 · Fax (920) 560-1098

Phone(715) 735-5500

Fax(715) 735-5502

Organization SubpartNo

Authorized OfficialCamilla MeyerCredentialing Specialist · (920) 393-2819

Enumeration DateMay 31, 2018

Last NPPES UpdateMarch 26, 20263 updates tracked since enumeration

NPPES CertifiedMarch 26, 2026

✔ NPI 1639661119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

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.

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedOccupational TherapistTaxonomy 225X00000X

1931 MARINETTE AVE, Marinette, WI 54143

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUCAS D GAUTHIER DPT

Physical Therapist