Individual provider Active NPI

Amber Jo Hanson

  • Physical Therapist
  • Black River Falls, WI
National Provider Identifier
1194655779
Registry record updated May 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16744-24 Issued in WI
Practice address
720 Forrest St
Black River Falls, WI 54615-9126
Phone
(715) 284-9406
NPI assigned
May 23, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 16744-24 WI Primary

Addresses

Primary practice location

720 Forrest St
Black River Falls, WI 54615-9126

Mailing address

2914 E Fairchild St
La Crosse, WI 54601-7455

Other practice location 1

166 Tiger Ln
Black River Falls, WI 54615-1209
Phone (715) 284-4324

Other practice location 2

207 E Pearl St
Merrillan, WI 54754-9063
Phone (207) 547-5471

Other practice location 3

N31024 Elland Rd
Blair, WI 54616-8946
Phone (608) 989-9835

Other practice location 4

19121 Hobson St
Whitehall, WI 54773-8652
Phone (715) 538-4364

Other practice location 5

23786 Indee Blvd
Independence, WI 54747-9095
Phone (715) 985-3172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16744-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
School District of Independence Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1779494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779494400000",
    "number": "1194655779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 E FAIRCHILD ST",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546017455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 FORREST ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546159126",
            "telephone_number": "715-284-9406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "166 Tiger Ln",
            "address_purpose": "LOCATION",
            "city": "Black River Falls",
            "state": "WI",
            "postal_code": "546151209",
            "country_code": "US",
            "telephone_number": "715-284-4324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 E Pearl St",
            "address_purpose": "LOCATION",
            "city": "Merrillan",
            "state": "WI",
            "postal_code": "547549063",
            "country_code": "US",
            "telephone_number": "207-547-5471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "N31024 Elland Rd",
            "address_purpose": "LOCATION",
            "city": "Blair",
            "state": "WI",
            "postal_code": "546168946",
            "country_code": "US",
            "telephone_number": "608-989-9835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19121 Hobson St",
            "address_purpose": "LOCATION",
            "city": "Whitehall",
            "state": "WI",
            "postal_code": "547738652",
            "country_code": "US",
            "telephone_number": "715-538-4364",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23786 Indee Blvd",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "WI",
            "postal_code": "547479095",
            "country_code": "US",
            "telephone_number": "715-985-3172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSON",
        "first_name": "AMBER",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-23",
        "last_updated": "2026-05-23",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "16744-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Black River Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2026; 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.