NPIMap

Organization Active NPI

Hickok Rehab Services LLC

  • Prosthetic/Orthotic Supplier
  • Thorp, WI
National Provider Identifier
1225352172
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
4639-024 Issued in WI
Legal business name
HICKOK REHAB SERVICES LLC
Practice address
314 N Washington St
Thorp, WI 54771-9531
Phone
(715) 669-5520
NPI assigned
Mar 22, 2010
Last updated
Mar 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Authorized official

Name
Larry A Hickok, PT
Title
Owner
Phone
(715) 669-5520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 4639-024 WI Primary

Addresses

Primary practice location

314 N Washington St
Thorp, WI 54771-9531

Mailing address

314 N Washington St
Thorp, WI 54771-9531
Phone (715) 669-5520

National Provider Directory

National Provider Directory

Locations

836 Richard Dr
Ste B
Eau Claire, WI 54701
Phone (715) 834-5850

205 E Hill St
Thorp, WI 54771
Phone (715) 669-5520

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1225352172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 N WASHINGTON ST",
            "city": "THORP",
            "state": "WI",
            "postal_code": "547719531",
            "telephone_number": "715-669-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 N WASHINGTON ST",
            "city": "THORP",
            "state": "WI",
            "postal_code": "547719531",
            "telephone_number": "715-669-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKOK REHAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "HICKOK",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-669-5520",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WI",
            "license": "4639-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thorp, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.