Ethan Joseph Hickcox, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

16746-24 Issued in WI

Practice address

1041 Hill St
Wisconsin Rapids, WI 54494-5202

Phone

(715) 421-7474

NPI assigned

Jun 5, 2024

Last updated

Jun 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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

• Aspirus Riverview Hospital & Clinics, Inc.

  dba Aspirus Outpatient Therapies - Wisconsin Rapids

  • General Acute Care Hospital
  • Wisconsin Rapids, WI
  • NPI 1295754844
  Medicare reassignment NPD
• Aspirus Riverview Hospital & Clinics, Inc.

  dba Aspirus Clinic - Marshfield

  • Rural Health Clinic/Center
  • Marshfield, WI
  • NPI 1124633870
  NPD
• Aspirus Riverview Hospital & Clinics, Inc.

  dba Aspirus Wisconsin Rapids Hospital - Emergency

  • Emergency Medicine Physician
  • Wisconsin Rapids, WI
  • NPI 1447798400
  NPD

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1558102111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3148 BRONSON RD",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544958333",
            "telephone_number": "651-900-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 HILL ST",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544945202",
            "telephone_number": "715-421-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKCOX",
        "first_name": "ETHAN",
        "middle_name": "JOSEPH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "16746-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jadyn Heinz
• Beth Hendrickson
• Richard L. Henke, LAT
• Paula M Hensel, DNP
• Kristen Detlefsen Henslin, PHARM.D.
• Higgins Ambulance Service, Inc.
• Thomas A Ho, MD
• Camen Hofer
• Cheryl Lynn Hoffman, COTA
• Tammy Hofmann, RN- BSN

• Physical Therapist in Wisconsin Rapids, WI
• Providers in Wisconsin Rapids, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.