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

Andrew J Taber, PT

Individual provider Physical Therapist · NPI 1457336992

Andrew J Taber, PT is a Physical Therapist in Private Practice in Green Bay, Wisconsin. Qualified in 2002, 24 years ago. Practices with Advanced Physical Therapy and Sports Medicine SC, a 61-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
24
Licensed in
WI
In the registry since
2005
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2223 Lime Kiln Rd
Green Bay, WI 54311-6213
Phone: (920) 560-1147
Fax: (920) 560-1197
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 Flightway Dr, Hobart, WI 54115-9301 — (920) 425-7140

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 10026 (WI)

Record details

NPI number1457336992
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 7, 2005
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Advanced Physical Therapy And Sports Medicine Sc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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