Nada Abouelnaga, DPT
Individual provider Active NPI Physical Therapist · Amery, WI
NPI 1902632045 · NPPES record last updated Sep 13, 2024
Key facts
- NPI
- 1902632045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 16983-24 (WI)
- Practice address
- 930 Elden Ave
Amery, WI 54001-1448 - Phone
- (715) 268-5103
- Fax
- (715) 268-5101
- NPI assigned
- Sep 13, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241002000742 | WI | Practitioner - Physical Therapist in Private Practice | 9739610775 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16983-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clear Lake Physical Therapy and Rehab Specialists LLC | Physical Therapist | Current |
Accepting new patients |
| Clear Lake Physical Therapy and Rehab Specialists LLC | Current |
Accepting new patients |
Locations
930 Elden Ave
Amery, WI 54001
Phone (715) 268-5103
100 Becker St
Turtle Lake, WI 54889
Phone (715) 263-4103
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16983-24 | WI | Yes |
Addresses
Primary practice location
930 Elden Ave
Amery, WI 54001-1448
Mailing address
P.O Box 147
Clear Lake, WI 54005-8905
Phone (715) 263-4103
Other practice location 1
100 Becker St
Turtle Lake, WI 54889-9205
Phone (715) 986-4103
Other practice location 2
417 3rd Ave
Clear Lake, WI 54005-8905
Phone (715) 263-4103
Other practice location 3
224 River Ave S
Prairie Farm, WI 54762-9786
Phone (715) 455-4103
Other providers in Amery, WI
- A K Karpenski LLC
- A Touch of Life Inc.
- Michael A Albano
- Amery Chiropractic LLC
- Amery Dialysis LLC
- Amery Regional Medical Center
- Amery Regional Medical Center
All providers in Amery, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.