HICKOK REHAB SERVICES LLC (NPI# 1376866954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376866954 |
| Entity Type | Organization |
| Organization Name | HICKOK REHAB SERVICES LLC |
| Practice Address |
831 Dallas St Chetek WI 54728-5811 |
| Practice Telephone | 7159252471 |
| Mailing Telephone | 7159252471 |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |
| Authorized Official Name | LARRY A HICKOK (OWNER) |
| Authorized Official Telephone | 7159252471 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 4639-024 | WI | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225352172 | Hickok Rehab Services LLC | Prosthetic/Orthotic Supplier | 314 N Washington St, Thorp, WI 54771-9531 | 2010-03-22 |
| Street Address |
831 DALLAS ST |
| City | CHETEK |
| State | WI |
| Zip Code | 54728-5811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958104 | Rachel Hanson | Behavior Technician | 917 18 Three Quarters Street, Chetek, WI 54728 | 2020-06-26 |
| 1922270586 | Chetek-weyerhaeuser Area School District | Local Education Agency (LEA) | 1001 Knapp St, Chetek, WI 54728 | 2008-03-24 |
| 1699872937 | Christopher N Severt | Chiropractor | 112 Knapp St, Box 558, Chetek, WI 54728 | 2006-09-20 |
| 1295840775 | Jeffrey M Marquardt | Family Medicine | 806 Second Street, Chetek, WI 54728 | 2006-08-21 |
| 1265477814 | Barbara M Ankarlo | Family Medicine | 220 Douglas St, Chetek, WI 54728 | 2006-06-18 |
| 1396955860 | Chetek Ambulance Service | Ambulance | 1224 Railroad Ave, Chetek, WI 54728-0047 | 2007-05-23 |
| 1083790927 | Marshfield Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 806 2nd St, Chetek, WI 54728-2800 | 2006-10-31 |
| 1619315835 | Jessica M. Pisarcik | Physician Assistant | 806 2nd St, Chetek, WI 54728-2800 | 2013-06-10 |
| 1215383914 | Gregory William Heisel | Massage Therapist | 813 2nd St, Chetek, WI 54728-2801 | 2016-05-11 |
| 1730535428 | Rachel Heisel | Massage Therapist | 813 2nd St, Chetek, WI 54728-2801 | 2016-05-11 |
| Find all providers in zip 54728 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932604 | Cassie Mae Mathis | Prosthetic/Orthotic Supplier | W1643 Greiner Rd, Freedom, WI 54130-7943 | 2020-11-03 |
| 1649648973 | Nordstrom | Prosthetic/Orthotic Supplier | 2424 N Mayfair Rd, Wauwatosa, WI 53226-1410 | 2015-09-03 |
| 1841698834 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 5220 S 27th St., Milwaukee, WI 53221 | 2014-12-08 |
| 1285908624 | Reichert Prosthetics & Orthotics, LLC | Prosthetic/Orthotic Supplier | 5027 Green Bay Rd Ste 124, Kenosha, WI 53144-1771 | 2012-03-02 |
| 1073807475 | Ralph's Shoes | Prosthetic/Orthotic Supplier | 336 Water St, Eau Claire, WI 54703-6132 | 2011-06-02 |
| 1982904769 | Better Balance LLC | Prosthetic/Orthotic Supplier | 2629 E Clairemont Ave, Eau Claire, WI 54701-6726 | 2010-10-27 |
| 1861718744 | Ripon Medical Center | Prosthetic/Orthotic Supplier | 165 W Huron St, Berlin, WI 54923-1590 | 2010-04-16 |
| 1225352172 | Hickok Rehab Services LLC | Prosthetic/Orthotic Supplier | 314 N Washington St, Thorp, WI 54771-9531 | 2010-03-22 |
| 1124356993 | Natural Tresses LLC | Prosthetic/Orthotic Supplier | 2011 N Richmond St, Appleton, WI 54911-2771 | 2009-12-05 |
| 1356571509 | Fox River Pedorthics, LLC | Prosthetic/Orthotic Supplier | 222b N Milwaukee St, Waterford, WI 53185-4312 | 2009-07-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.