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Active NPI 1265816342 Organization (Entity Type 2)

Advanced Movement Studio

Clinic/Center - Multi-Specialty • Appleton, WI

About Advanced Movement Studio NPI 1265816342 Summary

Advanced Movement Studio is a verified healthcare organization specializing in Clinic/Center - Multi-Specialty operating in Appleton, WI. Located at 101 W EDISON AVE, SUITE 110, this facility provides patient care and medical services under National Provider Identifier (NPI) 1265816342.

Administrative operations and authorized compliance are overseen by Andrew Braun (Founder, Athletic Trainer).

The facility is associated with 2 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

101 W Edison Ave
Suite 110

Appleton, WI 549151367

Telephone 9202091662

Authorized Official Information

Authorized Contact Name

Andrew Braun , LAT, CSCS, CES

Title / Role

Founder, Athletic Trainer

Official Telephone

9202091662

Facility Classifications & Specialties

Clinic/Center - Multi-Specialty Primary Taxonomy

NUCC Taxonomy Code: 261QM1300X

Definition to come...

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

2 Linked
Andrew Braun , LAT, CSCS, CES NPI 1013396472

Rehabilitation Practitioner

Appleton, WI

View Practitioner Profile →
Joseph Hanel , LAT, ATC NPI 1851758130

Specialist/Technologist - Athletic Trainer

Appleton, WI

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
✅
NPI Profile Active July 17, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 17, 2015

Registered at 101 W EDISON AVE, SUITE 110, APPLETON, WI 549151367 (Tel: 9202091662)

📍
Updated Business Mailing Address July 17, 2015

Registered at 101 W EDISON AVE, SUITE 110, APPLETON, WI 549151367 (Tel: 9202091662)

🏛️
Organization / Clinic Name Updated July 17, 2015

Operating as ADVANCED MOVEMENT STUDIO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2015

Clinic/Center (License #1145-39 in WI)

🟢
Initial NPI Registration & Enumeration July 17, 2015

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

0 Reviews
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NPI Organization Metadata

NPI Number: 1265816342
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: July 17, 2015
Last Update: July 17, 2015
Update or Correct Listing

Mailing Address

101 W Edison Ave, Suite 110

Appleton, WI 549151367

Phone: 9202091662

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.