Individual provider Active NPI

Nathan James Hoglund

  • Physical Therapist
  • Chippewa Falls, WI
National Provider Identifier
1902634215
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PAR-0000342403 Issued in WI
Practice address
1446 116TH Street Chippewa Falls
Chippewa Falls, WI 54729
Phone
(715) 514-1572
Fax
(715) 514-1576
NPI assigned
Jul 26, 2024
Last updated
Jul 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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 PAR-0000342403 WI Primary

Addresses

Primary practice location

1446 116TH Street Chippewa Falls
Chippewa Falls, WI 54729

Mailing address

1187 Evergreen LN Apt 3
Chippewa Falls, WI 54729-8850
Phone (715) 828-0604

Other names 1

  • Nathan Robert Hebert Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250205002450 WI Practitioner - Physical Therapist in Private Practice 7113457284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeland Physical Therapy L.L.C.Group PAC ID 6709919046, 7 clinicians

Practice addresses (Care Compare)

1446 116TH St
Chippewa Falls, WI 54729-5569
Phone (715) 514-1572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PAR-0000342403WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Physical Therapy L.L.C. Physical Therapist CurrentSince Nov 20, 2024 Accepting new patients

Locations

27477 State Highway 64
Ste C
Cornell, WI 54732
Phone (715) 239-0555

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

NPI Registry JSON

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1902634215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 EVERGREEN LN APT 3",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547298850",
            "telephone_number": "715-828-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 116TH STREET CHIPPEWA FALLS",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "54729",
            "telephone_number": "715-514-1572",
            "fax_number": "715-514-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGLUND",
        "first_name": "NATHAN",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "PAR-0000342403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATHAN",
            "last_name": "HEBERT",
            "middle_name": "ROBERT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.