ADVANCE PHYSICAL THERAPY & SPORTS REHAB, LLC
NPI 1922363555
Clinic/Center - Physical Therapy in Beaver Dam, WI

Active since July 10, 2012
201 GATEWAY DR STE 300, BEAVER DAM, WI 53916(920) 356-0122(920) 356-0470 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 27, 2017 (3 updates tracked since 2017).

About Advance Physical Therapy & Sports Rehab, Llc NPPES

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

ADVANCE PHYSICAL THERAPY & SPORTS REHAB, LLC (NPI 1922363555) is a healthcare organization registered as a physical therapy in Beaver Dam, Wisconsin and active in the NPI registry since July 2012. The organization maintains a secondary practice location in Beaver Dam and lists Karren S Ko, Owner, as its authorized official.

NPPES Registry Identity

NPI1922363555
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameADVANCE PHYSICAL THERAPY & SPORTS REHAB, LLC
Location Address201 GATEWAY DR STE 300Beaver Dam, WI 53916-9176
Mailing AddressPo Box 775Beaver Dam, WI 53916-0775 · (920) 356-0122 · Fax (920) 356-0470
Fax(920) 356-0470
Organization SubpartNo
Authorized OfficialKarren S KoOwner · (920) 356-0122
Enumeration DateJuly 10, 2012
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1922363555 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 · 9886024
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.
201 GATEWAY DR STE 300, Beaver Dam, WI 53916

Secondary Practice Location 1

Location 11626 N Spring St Ste BBeaver Dam, WI 53916-1283 · Phone (920) 356-0122 · Fax (920) 356-0470

Other Identifiers 2

Medicaid100028270WI
Other3182Medicare Ptan

Accepted Insurance

Other Providers at the Same Location NPPES 7

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

Physical Therapist
201 GATEWAY DR STE 300
BEAVER DAM, WI 53916
Physical Therapist
201 GATEWAY DR STE 300
BEAVER DAM, WI 53916
Physical Therapist
201 GATEWAY DR STE 300
BEAVER DAM, WI 53916
Physical Therapy Assistant
201 GATEWAY DR STE 300
BEAVER DAM, WI 53916
Physical Therapist
201 GATEWAY DR STE 300
BEAVER DAM, WI 53916
Physical Therapist
201 GATEWAY DR STE 300
BEAVER DAM, WI 53916
Physical Therapist
201 GATEWAY DR STE 300
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 & Sports Rehab, LLC's NPI number?

The NPI number for Advance Physical Therapy & Sports Rehab, LLC is 1922363555. It was assigned to this organization in the NPPES registry on July 10, 2012.

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

Advance Physical Therapy & Sports Rehab, LLC is located at 201 Gateway Dr Ste 300, Beaver Dam, WI 53916. The listed phone number is (920) 356-0122.

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

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

What insurance does Advance Physical Therapy & Sports Rehab, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Advance Physical Therapy & Sports Rehab, LLC 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 Advance Physical Therapy & Sports Rehab, LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.