ADVANCED PHYSICAL THERAPY & SPORTS MEDICINE SC
ADVANCED PHYSICAL THERAPY & SPORTS MEDICINE SC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1407857790, based in Appleton, WI. The organization lists 3 taxonomy classifications, with Physical Medicine & Rehabilitation Physician recorded as primary.
Getting there
The practice address on file is 2105 E ENTERPRISE AVE # 113 ADVANCED PHYSICAL THERAPY, Appleton, WI 54913. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 2365432903
Enrolled in Medicare 3 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Wisconsin | O20040514001027 | Part B Supplier - Clinic/group Practice |
| Wisconsin | O20180922000089 | Dme Supplier - Independently-practicing Physical Therapist |
| Michigan | O20190820000507 | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 3 separate enrolment records across 2 states (WI, MI). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Physical Medicine & Rehabilitation covers
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. NUCC Health Care Provider Taxonomy, code 208100000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | |
| 261QP2000X | Physical Therapy Clinic/Center Physical Therapy | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1407857790 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Aug 9, 2005 |
| Last updated | Mar 10, 2026 |
| Status | Active |
| Practice address |
2105 E ENTERPRISE AVE # 113 ADVANCED PHYSICAL THERAPY Appleton, WI 54913 (920) 991-2561 Fax (920) 991-2563 |
| Mailing address |
2105 E ENTERPRISE AVE STE 113 Appleton, WI 54913 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 0 | 7 | 8 | 5 | 7 | 7 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 0 | 7 | 7 | 5 | 5 | 7 | 9 |
Sum = 70 · next multiple of 10 = 70 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.