ADVANCED MOVEMENT STUDIO, LLC (NPI# 1447639802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447639802 |
Entity Type | Organization |
Organization Name | ADVANCED MOVEMENT STUDIO, LLC |
Practice Address |
101 W Edison Ave Suite 110 Appleton WI 54915-1367 |
Practice Telephone | 9202091662 |
Mailing Telephone | 9202091662 |
Enumeration Date | 2015-05-19 |
Last Update Date | 2015-07-17 |
Authorized Official Name | MR. ANDREW M BRAUN (FOUNDER/OWNER) |
Authorized Official Telephone | 9202091662 |
Authorized Official Credential | LAT, CSCS, CES |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225400000X | Rehabilitation Practitioner | 114539 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
11251024 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
101 W EDISON AVE SUITE 110 |
City | APPLETON |
State | WI |
Zip Code | 54915-1367 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851758130 | Joseph Hanel | Specialist/Technologist | 101 W Edison Ave, 110, Appleton, WI 54915-1367 | 2016-01-18 |
1265816342 | Advanced Movement Studio | Clinic/Center | 101 W Edison Ave, Suite 110, Appleton, WI 54915-1367 | 2015-07-17 |
1013396472 | Andrew Braun | Rehabilitation Practitioner | 101 W Edison Ave, Suite 110, Appleton, WI 54915-1367 | 2015-05-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
1912426958 | Shanna L. Larsen | Registered Nurse | 1101 E. South River St., Appleton, WI 54915 | 2017-09-11 |
1477082816 | Amy Fazel | Driver | 226 E Calumet St, Appleton, WI 54915 | 2017-06-08 |
1871940213 | B.a.israel LLC | Community Based Residential Treatment Facility, Mental Illness | N9520 Silver Court, Appleton, WI 54915 | 2016-05-16 |
1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
1386808319 | Shawn S Williamson | Emergency Medicine | 1506 South Oneida Street, Appleton, WI 54915 | 2008-07-18 |
1700040870 | Heidi Jo Van Toll | Occupational Therapist | 1335 S Oneida Street, Appleton, WI 54915 | 2008-07-17 |
1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
Find all providers in zip 54915 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912344417 | William Harold Hartmann | Physical Therapist | 2105 E Enterprise Ave, Suite 113, Appleton, WI 54913 | 2013-05-24 |
1578787065 | Cindi Ann Auth | Physical Therapist | 2105 E Enterprise Ave Ste 113, Appleton, WI 54913-7862 | 2007-04-13 |
1356457618 | Motion Synergy Physical Therapy LLC | Physical Therapist | 345 E Wisconsin Ave, Suite 5, Appleton, WI 54911-4802 | 2006-08-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588281760 | Devin Rorabeck | Physical Therapist | 1355 Awatukee Trl, Hudson, WI 54016-6936 | 2020-07-03 |
1235755265 | Andrew Roland Olson | Physical Therapist | 1507 W Knapp St Unit 1, Rice Lake, WI 54868-1384 | 2020-06-25 |
1730641887 | Jessica Solfest | Physical Therapist | 301 S Westfield Rd, Madison, WI 53717-1730 | 2019-04-05 |
1093294068 | Andrew Bidney | Physical Therapist | 945 N 12th St Rm 1100, Milwaukee, WI 53233-1305 | 2018-08-10 |
1972092989 | Renew Physical Therapy and Wellness, LLC | Physical Therapist | N2919 County Road Qq, Waupaca, WI 54981 | 2018-05-04 |
1144753542 | Promotion Physical Therapy | Physical Therapist | 2836 Steamboat Springs Run, Green Bay, WI 54313-9220 | 2017-04-04 |
1962959114 | Mary E Campbell | Physical Therapist | 1249 W Liebau Rd Ste 100, Mequon, WI 53092-3397 | 2016-09-06 |
1255781597 | Patrick Christopherson | Physical Therapist | 11702 W North Ave, Wauwatosa, WI 53226-2132 | 2016-06-17 |
1730565037 | Julia Badding | Physical Therapist | 14625 W Capitol Dr Ste 200, Brookfield, WI 53005-2318 | 2015-08-10 |
1811221344 | Mariann Schuster | Physical Therapist | 4125 N 124th St Ste A, Brookfield, WI 53005-1837 | 2009-09-30 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.