Hickok Rehabilitation Services, LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

4639-02 Issued in WI

Legal business name

HICKOK REHABILITATION SERVICES, LLC

Practice address

836 Richard Dr
Suite B
Eau Claire, WI 54701-6242

Phone

(715) 834-5850

NPI assigned

Jun 11, 2006

Organization subpart

No

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/ Physical Therapist

Phone

(715) 286-2203

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Dunamis Therapy & Fitness Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monica Seiberling, OTR/CHT

  • Occupational Therapist
  • Chippewa Falls, WI
  • NPI 1982660833
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1760424113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 418",
            "city": "AUGUSTA",
            "state": "WI",
            "postal_code": "54722",
            "telephone_number": "715-286-2203",
            "fax_number": "715-286-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 RICHARD DR",
            "address_2": "SUITE B",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016242",
            "telephone_number": "715-834-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKOK REHABILITATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "HICKOK",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "715-286-2203",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WI",
            "license": "4639-02",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "601601600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "7397",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN FOR THORP & CHETEK",
            "identifier": "000081145",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURITY HEALTH PLAN",
            "identifier": "68848",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME MEDICARE",
            "identifier": "533689001",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "7398",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40253000",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME PROVIDER #",
            "identifier": "5336890002",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dunamis Therapy & Fitness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaylie Hetzel
• Heyde Health System, Inc.
• HHA of Wisconsin, LLC
• Isabella Quinn Hickethier
• Madilyn Hickey
• Edgar O Hicks, M.D.
• Patrice M Hicks, MD
• Brandon Harry Hidaka, M.D., PH.D.
• Martha A. Hidalgo, MD
• Anna L Hiess

• Orthopedic Physical Therapist in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Orthopedic Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.