ADVANTAGE PT & SPORTS REHAB LLC – NPI #1235890971
Clinic/Center

ADVANTAGE PT & SPORTS REHAB LLC is an AHC clinic located in MOUNT PLEASANT, WI. NPPES has assigned the NPI number 1235890971 to ADVANTAGE PT & SPORTS REHAB LLC on January 05, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QR0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rehabilitation

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANTAGE PT & SPORTS REHAB LLC below.

NPI Profile for
ADVANTAGE PT & SPORTS REHAB LLC

NPI Number
1235890971
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANTAGE PT & SPORTS REHAB LLC
Primary location
1300 S GREEN BAY RD STE 205
MOUNT PLEASANT, WI 53406-4469
Phone: (419) 221-6717 Fax:
Mailing address
PO BOX 150
LIMA, OH 45802-0150
Phone: (419) 221-6717 Fax:
Organization Subpart
No
Authorized Official
CALVIN KENNEDY
LEGAL ASSISTANT
Phone: (419) 221-6717
Updated
Certification Date
Jan 05, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0400X
- Clinic/Center / Rehabilitation (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.