Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Advanced Physical Therapy & Sports Medicine SC

Organization Physical Therapist · NPI 1639661119

Advanced Physical Therapy & Sports Medicine SC is a Physical Therapist in Marinette, Wisconsin. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
3
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Practice location Address checks out

1931 Marinette Ave
Marinette, WI 54143-3801
Phone: (715) 735-5500
Fax: (715) 735-5502
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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 number1639661119
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Camilla Meyer — Credentialing Specialist · (920) 393-2819
NPI enumeratedMay 31, 2018
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026
Mailing address2105 E Enterprise Ave Ste 113, Appleton, WI 54913-7862

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