ADVANCE PHYSICAL THERAPY AND SPORTS REHAB, LLC
NPI 1780022525
Clinic/Center - Physical Therapy in Beaver Dam, WI

Active since June 13, 2013
1626 N SPRING ST STE B, BEAVER DAM, WI 53916(920) 356-0122 Get Directions Write a Review

NPPES record last updated: June 13, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Advance Physical Therapy And Sports Rehab, Llc NPPES

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

ADVANCE PHYSICAL THERAPY AND SPORTS REHAB, LLC (NPI 1780022525) is a healthcare organization registered as a physical therapy in Beaver Dam, Wisconsin and active in the NPI registry since June 2013. The organization lists Jim Ko, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1780022525
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameADVANCE PHYSICAL THERAPY AND SPORTS REHAB, LLC
Location Address1626 N SPRING ST STE BBeaver Dam, WI 53916-1283
Mailing AddressPo Box 775Beaver Dam, WI 53916-0775
Organization SubpartNo
Authorized OfficialJim KoBusiness Manager · (920) 356-0122
Enumeration DateJune 13, 2013
NPI 1780022525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License Licensed in WI · 12384-24
Definition

An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

1626 N SPRING ST STE B, Beaver Dam, WI 53916

Other Providers at the Same Location NPPES 2

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

Physical Therapist
1626 N SPRING ST STE B
BEAVER DAM, WI 53916
Massage Therapist
1626 N SPRING ST STE B
BEAVER DAM, WI 53916

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 Advance Physical Therapy And Sports Rehab, LLC's NPI number?

The NPI number for Advance Physical Therapy And Sports Rehab, LLC is 1780022525. It was assigned to this organization in the NPPES registry on June 13, 2013.

Where is Advance Physical Therapy And Sports Rehab, LLC located?

Advance Physical Therapy And Sports Rehab, LLC is located at 1626 N Spring St Ste B, Beaver Dam, WI 53916. The listed phone number is (920) 356-0122.

What is Advance Physical Therapy And Sports Rehab, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

When was this NPI record last updated?

The NPPES record for Advance Physical Therapy And Sports Rehab, LLC was last updated on June 13, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.