Nicholas Damman
Individual provider Active NPI Physical Therapy Assistant · Clinton, WI
NPI 1366393555 · NPPES record last updated Feb 4, 2026
Key facts
- NPI
- 1366393555
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- Practice address
- 9130 S Gustafson Rd
Clinton, WI 53525-9248 - Phone
- (608) 449-8927
- NPI assigned
- Feb 4, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes |
Addresses
Primary practice location
9130 S Gustafson Rd
Clinton, WI 53525-9248
Mailing address
9130 S Gustafson Rd
Clinton, WI 53525-9248
Other providers in Clinton, WI
- Clinton Chiropractic Clinic SC
- Clinton Community School District
- Clinton Fire Protection District
- Clinton Pharmacy LLC
- Lara Damico
- Brian D Dittmann
- C Jean Dittmann
- Ashley Ann Furman
- Generations Care Partners Corporation Dba Caring Senior Service Milwau
- Erin Grenawalt
All providers in Clinton, WI · Physical Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.