Advanced Physical Therapy & Sports Medicine Sc is a
Occupational Therapist based in Grand Chute, Wisconsin. Advanced Physical Therapy & Sports Medicine Sc is licensed to practice in * (Not Available) (license number ) and their current practice location is
5000 W Champion Dr, Grand Chute, Wisconsin. It can be reached at their office (for appointments etc.) via phone at
(920) 560-1123.
NPI number for Advanced Physical Therapy & Sports Medicine Sc is 1538858857 and their current mailing address is 2105 E Enterprise Ave Ste 113, Appleton, Wisconsin. Advanced Physical Therapy & Sports Medicine Sc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1538858857.
Healthcare Provider's Profile
| Full Name | Advanced Physical Therapy & Sports Medicine Sc |
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| Type | Facility |
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| Speciality | Occupational Therapist |
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| Location | 5000 W Champion Dr, Grand Chute, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1538858857
- Provider Enumeration Date: 05/03/2023
- Last Update Date: 05/03/2023
Medical Identifiers
Medical identifiers for Advanced Physical Therapy & Sports Medicine Sc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538858857 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Advanced Physical Therapy & Sports Medicine Sc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Advanced Physical Therapy & Sports Medicine Sc
2105 E Enterprise Ave Ste 113,
Appleton, WI 54913-7862
Ph: (205) 601-1479 | Advanced Physical Therapy & Sports Medicine Sc
5000 W Champion Dr,
Grand Chute, WI 54913-5000
Ph: (920) 560-1123 |
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