Northwoods Sport & Hand, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

NORTHWOODS SPORT & HAND, INC.

Doing business as

Northwoods Therapy Associates

Practice address

757 Lakeland Dr
Suite a
Chippewa Falls, WI 54729-5027

Phone

(715) 723-5060

Fax

(715) 723-5149

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

TJ Nereng

Title

Owner/PT

Phone

(715) 839-9266

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Northwoods Therapy Associates Doing business as

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1174679864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 LAKELAND DR",
            "address_2": "SUITE A",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547295027",
            "telephone_number": "715-723-5060",
            "fax_number": "715-723-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 LAKELAND DR",
            "address_2": "SUITE A",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547295027",
            "telephone_number": "715-723-5060",
            "fax_number": "715-723-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOODS SPORT & HAND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "NERENG",
        "authorized_official_first_name": "TJ",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "715-839-9266"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WI",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "6479370002",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40428500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwoods Therapy Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hung Nguyen
• Angella Ann Niblett
• Northpark Dental - Chippewa
• Northpark Dental LLC
• Northwoods Family Eyecare, LLC
• Karyn Nyhus, M.S., CCC-SLP
• Kristina S Nyhus, DC
• Sarah J Nystrom, PTA
• Kimberly K O'Brien-Sillman, LCSW
• Oakleaf Clinics Inc

• Physical Therapy Clinic/Center in Chippewa Falls, WI
• Providers in Chippewa Falls, WI by specialty
• Physical Therapy Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.