Organization Active NPI

Hickok Rehabilitation Services, LLC

Doing business as Dunamis Therapy & Fitness

  • Orthopedic Physical Therapist
  • Eau Claire, WI
National Provider Identifier
1760424113
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
4639-02 Issued in WI
Legal business name
HICKOK REHABILITATION SERVICES, LLC
Doing business as
Dunamis Therapy & Fitness
Practice address
836 Richard Dr
Suite B
Eau Claire, WI 54701-6242
Phone
(715) 834-5850
NPI assigned
Jun 11, 2006
Last updated
Aug 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 4639-02 WI Primary

Addresses

Primary practice location

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

Mailing address

P.O. Box 418
Augusta, WI 54722
Phone (715) 286-2203

Other names 1

  • Dunamis Therapy & Fitness Doing business as

National Provider Directory

National Provider Directory

Locations

708 W Washington St
Augusta, WI 54722
Phone (715) 286-2488

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

Practitioners & affiliated clinicians

Practitioners 1

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": "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dunamis Therapy & Fitness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eau Claire, WI

Sources for this page

  • 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.