Organization · Type 2 NPI

Advantage Physical Therapy & Sports Rehab, LLC

Rehabilitation Clinic/Center · New Berlin, WI

NPI number 1285205195 Active

Practice location

12555 W National Ave
New Berlin, WI 53151-4061

Call (414) 422-4678 Map

Fax (419) 222-0507

Mailing address

PO Box 150
Lima, OH 45802-0150

Specialties and licenses

Taxonomy	Code	License
Rehabilitation Clinic/Center Primary	261QR0400X	None listed

Rehabilitation Clinic/Center: Definition to come...

4 other providers at this address

NPI record

NPI: 1285205195
Entity type: Organization (Type 2)
Issued: Jul 2, 2021
Last updated: Feb 27, 2024
Status: Active

Other names

<unavail>
Cora Physical Therapy - New Berlin · doing business as
Cora Physical Therapy - New Berlin · doing business as

Authorized official

Calvin D Kennedy
General Counsel
(724) 544-4302

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1285205195

Advantage Physical Therapy & Sports Rehab, LLC's National Provider Identifier is 1285205195, issued on Jul 2, 2021. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in New Berlin, WI. The record was last updated on Feb 27, 2024.