Individual provider Active NPI

Robert P Worth, PT

  • Physical Therapist
  • Appleton, WI
National Provider Identifier
1811999584
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4422 Issued in WI
Practice address
2105 E Enterprise Ave # 113
Advanced Physical Therapy
Appleton, WI 54913-7862
Phone
(920) 991-2561
Fax
(920) 991-2563
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4422 WI Primary

Addresses

Primary practice location

2105 E Enterprise Ave # 113
Advanced Physical Therapy
Appleton, WI 54913-7862

Mailing address

2105 E Enterprise Ave # 113
Advanced Physical Therapy
Appleton, WI 54913-7862
Phone (920) 991-2561

Other identifiers 1

IdentifierTypeStateIssuer
40203300MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, VI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090625000452 WI Practitioner - Physical Therapist in Private Practice 5395734784 Reassigns benefits to 2 organizations
I20190528000867 VI Practitioner - Physical Therapist in Private Practice 5395734784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2105 E Enterprise Ave
Suite 113
Appleton, WI 54913-7862
Phone (920) 991-2561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy & Sports Medicine SC Physical Therapist CurrentSince Jun 1, 1998 Accepting new patients
Rehabilitation Services of St Croix Physical Therapist CurrentSince Mar 1, 2019 Accepting new patients
Advanced Physical Therapy & Sports Medicine SC Physical Therapist CurrentSince Jun 1, 1998 Accepting new patients
PT Associates of Portage County Inc Physical Therapist CurrentSince Jul 1, 2019 Accepting new patients
Advanced Physical Therapy & Sports Medicine of Shawano LLC Physical Therapist PastSince Jun 1, 1998 Accepting new patients

Locations

5007 Starboard St
Ste 6
Christiansted, VI 00820
Phone (340) 201-4248

2105 E Enterprise Ave
Appleton, WI 54913
Phone (920) 560-1000

2105 E Enterprise Ave
Ste 113
Appleton, WI 54913
Phone (920) 560-1083

2105 E Enterprise Ave
#113
Appleton, WI 54913

1370 N Shawano St
Ste E
New London, WI 54961
Phone (920) 249-7171

212 E Green Bay St
Shawano, WI 54166
Phone (715) 526-5221

641 Division St
Stevens Point, WI 54481

1800 N Point Dr
Stevens Point, WI 54481
Phone (715) 345-2126

2918 Post Rd
Stevens Point, WI 54481
Phone (715) 345-2126

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1811999584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 E ENTERPRISE AVE # 113",
            "address_2": "ADVANCED PHYSICAL THERAPY",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137862",
            "telephone_number": "920-991-2561",
            "fax_number": "920-991-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 E ENTERPRISE AVE # 113",
            "address_2": "ADVANCED PHYSICAL THERAPY",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137862",
            "telephone_number": "920-991-2561",
            "fax_number": "920-991-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTH",
        "first_name": "ROBERT",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "4422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40203300",
            "state": "WI"
        }
    ],
    "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 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.