Individual provider Active NPI

Adam J Kienert

  • Physical Therapist
  • Hortonville, WI
National Provider Identifier
1841781580
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
W8254 Hackberry Hills Rd
Hortonville, WI 54944-9136
Phone
(715) 281-6910
NPI assigned
May 29, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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 Primary

Addresses

Primary practice location

W8254 Hackberry Hills Rd
Hortonville, WI 54944-9136

Mailing address

W8254 Hackberry Hills Rd
Hortonville, WI 54944-9136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180725003574 WI Practitioner - Physical Therapist in Private Practice 8820345549

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2105 E Enterprise Ave
Suite 113
Appleton, WI 54913-7862

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy & Sports Medicine SC Physical Therapist CurrentSince Jul 22, 2020 Accepting new patients
Advanced Physical Therapy & Sports Medicine SC Physical Therapist CurrentSince Jul 22, 2020 Accepting new patients

Locations

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

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

1640 N Casaloma Dr
Appleton, WI 54913
Phone (920) 560-1147

2851 E Apple Creek Rd
Appleton, WI 54913

5000 W Champion Dr
#110
Grand Chute, WI 54913
Phone (920) 560-1123

801 Hoffman Rd
Green Bay, WI 54301
Phone (920) 425-7140

2223 Lime Kiln Rd
Green Bay, WI 54311
Phone (920) 430-4770

Organizations & group practices 2

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": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1841781580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W8254 HACKBERRY HILLS RD",
            "city": "HORTONVILLE",
            "state": "WI",
            "postal_code": "549449136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W8254 HACKBERRY HILLS RD",
            "city": "HORTONVILLE",
            "state": "WI",
            "postal_code": "549449136",
            "telephone_number": "715-281-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIENERT",
        "first_name": "ADAM",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-29",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hortonville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.