Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Physical Therapy & Sports Medicine SC

Organization Physical Therapist · NPI 1538858857

Advanced Physical Therapy & Sports Medicine SC is a Physical Therapist in Grand Chute, Wisconsin. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3

Practice location Address checks out

5000 W Champion Dr
Grand Chute, WI 54913-5000
Phone: (920) 560-1123
Fax: (920) 202-3535
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1538858857
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Camilla Meyer — Credentialing Specialist · (920) 393-2819
NPI enumeratedMay 3, 2023
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026
Mailing address2105 E Enterprise Ave Ste 113, Appleton, WI 54913-7862

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