Nada Abouelnaga, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

16983-24 Issued in WI

Practice address

930 Elden Ave
Amery, WI 54001-1448

Phone

(715) 268-5103

Fax

(715) 268-5101

NPI assigned

Sep 13, 2024

Last updated

Sep 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clear Lake Physical Therapy and Rehab Specialists LLC

  • Physical Therapy Clinic/Center
  • Prairie Farm, WI
  • NPI 1083328785
  NPD
• Clear Lake Physical Therapy and Rehab Specialists LLC

  • Physical Therapist
  • Clear Lake, WI
  • NPI 1083845754
  NPD

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1902632045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 147",
            "city": "CLEAR LAKE",
            "state": "WI",
            "postal_code": "540058905",
            "telephone_number": "715-263-4103",
            "fax_number": "715-263-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 ELDEN AVE",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540011448",
            "telephone_number": "715-268-5103",
            "fax_number": "715-268-5101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Becker St",
            "address_purpose": "LOCATION",
            "city": "Turtle Lake",
            "state": "WI",
            "postal_code": "548899205",
            "country_code": "US",
            "telephone_number": "715-986-4103",
            "fax_number": "715-986-4128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "417 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Clear Lake",
            "state": "WI",
            "postal_code": "540058905",
            "country_code": "US",
            "telephone_number": "715-263-4103",
            "fax_number": "715-263-4110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "224 River Ave S",
            "address_purpose": "LOCATION",
            "city": "Prairie Farm",
            "state": "WI",
            "postal_code": "547629786",
            "country_code": "US",
            "telephone_number": "715-455-4103",
            "fax_number": "715-455-4106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABOUELNAGA",
        "first_name": "NADA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "16983-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amery Chiropractic LLC
• Amery Dialysis LLC (Amery Dialysis)
• Amery Regional Medical Center (Johnson Drug at Armc)
• Amery Regional Medical Center

• Physical Therapist in Amery, WI
• Providers in Amery, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.