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ALEXANDER SHUTTER DPT
NPI 1699653170
Physical Therapist - Sports in Suamico, WI

Active since August 23, 2025
1772 RIVERSIDE DR, SUAMICO, WI 54173(920) 838-5483 Get Directions Write a Review

NPPES record last updated: August 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alexander Shutter Dpt NPPES

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

ALEXANDER SHUTTER DPT (NPI 1699653170) is an individual sports provider in Suamico, Wisconsin, licensed in Wisconsin (1745324) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1699653170
Entity TypeIndividual
Primary Taxonomy2251S0007X
Provider Legal NameALEXANDER SHUTTERCredential: DPT
Location Address1772 RIVERSIDE DRSuamico, WI 54173-8100
Mailing Address1772 Riverside DrSuamico, WI 54173-8100 · (920) 838-5483
Phone(920) 838-5483
Sole ProprietorYes
Enumeration DateAugust 23, 2025
NPPES CertifiedAugust 22, 2025
✔ NPI 1699653170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
License✔ Licensed in WI · 1745324
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
1772 RIVERSIDE DR, Suamico, WI 54173
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Other Providers at the Same Location NPPES

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

DR. JAKOB VOSS DPT
Physical Therapist
1772 RIVERSIDE DR
SUAMICO, WI 54173
Brown County (920) 770-3303

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 Alexander Shutter's NPI number?

The NPI number for Alexander Shutter is 1699653170. It was assigned to this individual provider in the NPPES registry on August 23, 2025.

Where is Alexander Shutter located?

Alexander Shutter practices at 1772 Riverside Dr, Suamico, WI 54173. The listed phone number is (920) 838-5483.

What is Alexander Shutter's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

When was this NPI record last updated?

The NPPES record for Alexander Shutter was last updated on August 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.