NPIMap

Organization Active NPI

Advanced Movement Studio

  • Multi-Specialty Clinic/Center
  • Appleton, WI
National Provider Identifier
1265816342
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
1145-39 Issued in WI
Legal business name
ADVANCED MOVEMENT STUDIO
Practice address
101 W Edison Ave
Suite 110
Appleton, WI 54915-1367
Phone
(920) 209-1662
NPI assigned
Jul 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Andrew M Braun, LAT, CSCS, CESNPI 1013396472
Title
Founder, Athletic Trainer
Phone
(920) 209-1662

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 1145-39 WI Primary

Addresses

Primary practice location

101 W Edison Ave
Suite 110
Appleton, WI 54915-1367

Mailing address

101 W Edison Ave
Suite 110
Appleton, WI 54915-1367
Phone (920) 209-1662

National Provider Directory

National Provider Directory

Locations

101 W Edison Ave
Ste 110
Appleton, WI 54915
Phone (920) 209-1662

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1265816342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W EDISON AVE",
            "address_2": "SUITE 110",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151367",
            "telephone_number": "920-209-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W EDISON AVE",
            "address_2": "SUITE 110",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151367",
            "telephone_number": "920-209-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MOVEMENT STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "BRAUN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FOUNDER, ATHLETIC TRAINER",
        "authorized_official_telephone_number": "920-209-1662",
        "authorized_official_credential": "LAT, CSCS, CES"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "WI",
            "license": "1145-39",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.