Advance Therapy Center Inc
Organization Active NPI Physical Therapist · Oshkosh, WI
NPI 1003035767 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1003035767
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 3756-024 (WI)
- Legal business name
- ADVANCE THERAPY CENTER INC
- Practice address
- 3475 Omro Rd
Ste. 300
Oshkosh, WI 54904-7125 - Phone
- (920) 233-7177
- NPI assigned
- Apr 24, 2007
- Organization subpart
- No
Authorized official
- Name
- Karla J King
- Title
- Office Manager
- Phone
- (920) 233-7177
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 3756-024 | WI | Yes |
Addresses
Primary practice location
3475 Omro Rd
Ste. 300
Oshkosh, WI 54904-7125
Mailing address
3475 Omro Rd
Ste. 300
Oshkosh, WI 54904-7125
Phone (920) 233-7177
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41219900 | Medicaid | WI |
Other providers in Oshkosh, WI
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- Samantha Adams
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All providers in Oshkosh, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.