Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801397187 Individual Practitioner Male Practitioner

Derek Nystrom , PTA

Physical Therapy Assistant • Eau Claire, WI

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Derek Nystrom, PTA is a registered healthcare professional specializing in Physical Therapy Assistant in Eau Claire, WI. Official NPI practice address is registered at 1109 W CLAIREMONT AVE.

Practice Location & Contact Primary Location

Practice Address

1109 W Clairemont Ave

Eau Claire, WI 547016105

Telephone 7157175367
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapy Assistant in Eau Claire, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.5 Yrs
Regional Practice Density
41 Specialists

Practicing in Eau Claire, WI (2229 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-12-29
Physical Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 225200000X

State License WI 2176-19

(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

Secondary Practice Locations

2509 County Highway I

Chippewa Falls, WI 547292785

Phone: 7157177455

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Drake Kessler , OTR, L

Occupational Therapist - Physical Rehabilitation

NPI 1023575065

Occupational Therapist Registered, L

Anne Sadowska , OTR

Occupational Therapist

NPI 1124322599

Occupational Therapist Registered

Katherine French

Speech-Language Pathologist

NPI 1164083655
Linda Odness

Speech-Language Pathologist

NPI 1164911087
Laura Bergh

Speech-Language Pathologist

NPI 1164926291
Dr. Shannon Birkholz , DPT

Physical Therapist

NPI 1174058416

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active March 17, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2018

Registered at 1109 W CLAIREMONT AVE, EAU CLAIRE, WI 547016105 (Tel: 7157175367)

📍
Updated Business Mailing Address March 17, 2018

Registered at 24405 COUNTY HIGHWAY F, NEW AUBURN, WI 547575346

👤
Provider Name / Credentials Updated March 17, 2018

Recorded as DEREK NYSTROM, PTA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Physical Therapy Assistant (License #2176-19 in WI)

NPI Profile Active February 22, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 22, 2018

Registered at 1109 W CLAIREMONT AVE, EAU CLAIRE, WI 547016105 (Tel: 7157175367)

📍
Updated Business Mailing Address February 22, 2018

Registered at 24405 COUNTY HIGHWAY F, NEW AUBURN, WI 547575346

👤
Provider Name / Credentials Updated February 22, 2018

Recorded as DEREK NYSTROM, PTA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2018

Physical Therapy Assistant (License #2176-19 in WI)

🟢
Initial NPI Registration & Enumeration February 22, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801397187
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2018
Last Update: December 29, 2021
Sole Proprietor: No

Mailing Address

24405 County Highway F

New Auburn, WI 547575346

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.