Larry A Hickok, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4639-24 Issued in WI

Practice address

831 Dallas St
Chetek, WI 54728-5811

Phone

(800) 974-4378

Fax

(630) 515-1536

NPI assigned

Nov 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DPT Holdings LLCGroup PAC ID 4688679293, 170 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• DPT Holdings PLLC

  • Physical Therapist
  • Plainfield, IL
  • NPI 1689648602

  Physical Therapist, WI

  Medicare reassignment Care Compare group NPD
• Hickok Rehab Services LLC

  • Prosthetic/Orthotic Supplier
  • Chetek, WI
  • NPI 1376866954
  NPD (past) Authorized official
• DPT Holdings LLC

  • Occupational Therapist
  • Kenosha, WI
  • NPI 1528671401
  Care Compare group
• DPT Holdings LLC

  • Occupational Therapist
  • East Lansing, MI
  • NPI 1073136917
  Care Compare group
• DPT Holdings LLC

  • Occupational Therapist
  • Clarkston, MI
  • NPI 1073461083
  Care Compare group
• DPT Holdings LLC

  • Occupational Therapist
  • Naperville, IL
  • NPI 1164020400
  Care Compare group
• DPT Holdings LLC

  • Occupational Therapist
  • Addison, IL
  • NPI 1427748136
  Care Compare group
• DPT Holdings LLC

  • Occupational Therapist
  • Lombard, IL
  • NPI 1912576208
  Care Compare group
• DPT Holdings PLLC

  • Occupational Therapist
  • Lemont, IL
  • NPI 1174149595
  Care Compare group
• DPT Holdings PLLC

  • Occupational Therapist
  • Brighton, MI
  • NPI 1821760927
  Care Compare group

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1245304971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24014 W RENWICK RD UNIT 206",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605448711",
            "telephone_number": "800-974-4378",
            "fax_number": "630-515-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 DALLAS ST",
            "city": "CHETEK",
            "state": "WI",
            "postal_code": "547285811",
            "telephone_number": "800-974-4378",
            "fax_number": "630-515-1536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 E Hill St",
            "address_purpose": "LOCATION",
            "city": "Thorp",
            "state": "WI",
            "postal_code": "547717630",
            "country_code": "US",
            "telephone_number": "800-974-4378",
            "fax_number": "630-515-1536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "708 W Washington St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "WI",
            "postal_code": "547229085",
            "country_code": "US",
            "telephone_number": "800-974-4378",
            "fax_number": "630-515-1536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKOK",
        "first_name": "LARRY",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "4639-24",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WI",
            "license": "4639-02",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40253000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Hanson
• Gregory William Heisel, LMT
• Rachel Heisel, LMT
• Herman Advanced Family Eyecare
• Hickok Rehab Services LLC
• Sarah Karpowicz, COTA
• Amanda Kohnen, RN
• Lakeview Medical Center Inc of Rice Lake
• Lakeview Medical Center Inc of Rice Lake
• Lakeview Medical Center Inc of Rice Lake

• All providers in Chetek, WI
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.