NPIMap

Organization Active NPI

Northwoods Sport & Hand, Inc

Doing business as Northwoods Therapy Associates

  • Physical Therapy Clinic/Center
  • Altoona, WI
National Provider Identifier
1609966407
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
NORTHWOODS SPORT & HAND, INC
Doing business as
Northwoods Therapy Associates
Practice address
1200 Oakleaf Way
Suite B
Altoona, WI 54720-2309
Phone
(715) 839-9266
NPI assigned
Oct 13, 2006
Last updated
Feb 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Authorized official

Name
TJ Nereng, PT, DPT, OCSNPI 1154763258
Title
PT/Owner
Phone
(715) 839-9266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X WI Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1200 Oakleaf Way
Suite B
Altoona, WI 54720-2309

Mailing address

1200 Oakleaf Way
Suite B
Altoona, WI 54720-2309
Phone (715) 839-9266

Other identifiers 2

IdentifierTypeStateIssuer
40428500MedicaidWI
41638600MedicaidWI

Other names 1

  • NORTHWOODS THERAPY ASSOCIATES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110207000471 WI DME Supplier - Independently-Practicing Physical Therapist 9032399118 Practice locations: Altoona, WI
O20110311000809 WI Part B Supplier - Clinic/Group Practice 9032399118 Receives reassigned benefits from 30 practitioners
Practice locations: Menomonie, WI; Chippewa Falls, WI; Lake Hallie, WI; Altoona, WI; Ladysmith, WI

National Provider Directory

National Provider Directory
Tax ID family
Northwoods Sport Hand Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1200 Oakleaf Way
Ste A
Altoona, WI 54720
Phone (800) 322-1747

1200 Oakleaf Way
Ste B
Altoona, WI 54720
Phone (715) 839-9266

133 W Central St
Chippewa Falls, WI 54729
Phone (715) 226-0896

757 Lakeland Dr
Ste A
Chippewa Fls, WI 54729
Phone (715) 723-5060

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1609966407",
    "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": "547202309",
            "telephone_number": "715-839-9266"
        },
        {
            "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": "547202309",
            "telephone_number": "715-839-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOODS SPORT & HAND, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "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": "PT/OWNER",
        "authorized_official_telephone_number": "715-839-9266",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "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": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40428500",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41638600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHWOODS THERAPY ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altoona, WI

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.