Advanced Physical Therapy & Sports Medicine Sc is a medicare enrolled "Durable Medical Equipment & Medical Supplies" provider in Green Bay, Wisconsin. Their current practice location is
2223 Lime Kiln Rd, Green Bay, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(920) 965-4715.
Advanced Physical Therapy & Sports Medicine Sc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Advanced Physical Therapy & Sports Medicine Sc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1881183572.
Healthcare Provider's Profile
| Full Name | Advanced Physical Therapy & Sports Medicine Sc |
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| Type | Facility |
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| Speciality | Durable Medical Equipment & Medical Supplies |
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| Location | 2223 Lime Kiln Rd, Green Bay, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881183572
- Provider Enumeration Date: 05/08/2018
- Last Update Date: 03/10/2026
Medicare PECOS Information:
- PECOS PAC ID: 2365432903
- Enrollment ID: O20181228002018
Medical Identifiers
Medical identifiers for Advanced Physical Therapy & Sports Medicine Sc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1881183572 | NPI | - | NPPES |
| 41174800 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (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
enrolled with medicare and thus, if eligible, can 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: (920) 991-2561 | Advanced Physical Therapy & Sports Medicine Sc 2223 Lime Kiln Rd, Green Bay, WI 54311-6213 Ph: (920) 965-4715 |
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