TJ Nereng, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12366 Issued in WI

Practice address

1200 Oakleaf Way
Suite B
Altoona, WI 54720-2245

Phone

(715) 839-9266

Fax

(715) 839-8761

NPI assigned

Jul 18, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwoods Sport and Hand IncGroup PAC ID 9032399118, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Northwoods Sport & Hand, Inc

  • Physical Therapy Clinic/Center
  • Altoona, WI
  • NPI 1609966407

  Physical Therapist, WI

  Medicare reassignment Care Compare group NPD Authorized official
• Northwoods Sport & Hand, Inc

  • Physical Therapy Clinic/Center
  • Lake Hallie, WI
  • NPI 1437828068
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1154763258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 OAKLEAF WAY",
            "address_2": "SUITE B",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202245",
            "telephone_number": "715-839-9266",
            "fax_number": "715-839-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 OAKLEAF WAY",
            "address_2": "SUITE B",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202245",
            "telephone_number": "715-839-9266",
            "fax_number": "715-839-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERENG",
        "first_name": "TJ",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-18",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154763258",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MK Care, LLC
• Tyra J Montoya, LMT
• Tracy Neises, NP
• Kate E Nelson, PA
• Jennifer Leah Nereng, PT, DPT
• Rebecca J Newby, PT
• Karen Renee Norman, MA, BCBA, LBA
• Northwoods Sport & Hand, Inc
• NSH Altoona LLC
• Ariane Nwabo, PHARMACIST

• All providers in Altoona, WI
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.