Advanced Physical Therapy & Sports Medicine Sc

LBN: Advanced Physical Therapy & Sports Medicine Sc
Advanced Physical Therapy & Sports Medicine Sc is an health care organization with primary practice located at 2223 Lime Kiln Rd , Green Bay WI 54311-6213. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Advanced Physical Therapy & Sports Medicine Sc can be contacted via phone (920) 965-4715, or through Tillmann, Jenifer Lynne via phone (920) 560-1147.

Contact Information

Primary practice address
2223 Lime Kiln Rd Green Bay WI 54311-6213
Phone: (920) 965-4715
Fax: (920) 569-1520
Website:
Map and Directions
Authorized official contact:
Name: Tillmann, Jenifer Lynne
Phone: (920) 560-1147

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1881183572
LBN Legal business name Advanced Physical Therapy & Sports Medicine Sc
DBA Doing business as
Authorized official Tillmann, Jenifer Lynne
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2018
Last updated Nov 2nd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881183572 NPPES
Wisconsin MEDICAID 41174800

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