HICKOK REHABILITATION SERVICES, LLC (NPI# 1760424113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760424113 |
| Entity Type | Organization |
| Organization Name | HICKOK REHABILITATION SERVICES, LLC |
| Other Organization Name | DUNAMIS THERAPY & FITNESS |
| Practice Address |
836 Richard Dr Suite B Eau Claire WI 54701-6242 |
| Mailing Address |
P.o. Box 418 Augusta WI 54722 |
| Practice Telephone | 7158345850 |
| Mailing Telephone | 7152862203 |
| Mailing Fax Number | 7152862076 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2016-08-24 |
| Authorized Official Name | LARRY A HICKOK (OWNER/ PHYSICAL THERAPIST) |
| Authorized Official Telephone | 7152862203 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
4639-02 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | GROUP HEALTH | 7397 | 01 |
| WI | DME PROVIDER # | 5336890002 | 01 |
| WI | DME MEDICARE | 533689001 | 01 |
| WI | 40253000 | 05 | |
| WI | SECURITY HEALTH PLAN | 68848 | 01 |
| WI | MEDICARE PTAN FOR THORP & CHETEK | 000081145 | 01 |
| WI | US DEPT OF LABOR | 601601600 | 01 |
| WI | GROUP HEALTH | 7398 | 01 |
| Other Name | Type Code |
|---|---|
| Dunamis Therapy & Fitness | Doing Business As Name - Organization |
| Street Address |
836 RICHARD DR SUITE B |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701-6242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649636614 | Adam S Hass | Physical Therapy Assistant | 836 Richard Dr, Eau Claire, WI 54701-6242 | 2016-01-06 |
| 1780934562 | Rebecca Peterson | Massage Therapist | 836 Richard Dr, Studio #8, Eau Claire, WI 54701-6242 | 2012-09-19 |
| 1740440841 | Lori Jo Whitis | Family Medicine | 836 Richard Dr, Eau Claire, WI 54701-6242 | 2008-06-11 |
| 1245304971 | Larry A Hickok | Physical Therapist | 836 Richard Dr, Suite B, Eau Claire, WI 54701-6242 | 2006-11-17 |
| 1932289907 | Kevin G Patterson | Chiropractor | 836 Richard Dr, Eau Claire, WI 54701-6242 | 2006-10-16 |
| 1487748539 | Edgar Hicks, Md, LLC | Orthopaedic Surgery | 836 Richard Dr, Eau Claire, WI 54701-6242 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1023519055 | Rachel Delanois | Specialist/Technologist | Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 | 2018-02-25 |
| 1427564863 | Matayla Springstroh | Specialist/Technologist | 509 University Drive, Eau Claire, WI 54701 | 2017-12-21 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| Find all providers in zip 54701 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245304971 | Larry A Hickok | Physical Therapist | 836 Richard Dr, Suite B, Eau Claire, WI 54701-6242 | 2006-11-17 |
| 1427157502 | Thomas Joe Morgan | Physical Therapist | 4210 Southtown Dr, Eau Claire, WI 54701-2635 | 2006-09-22 |
| 1518927771 | Amy Marie Kurtz | Physical Therapist | 4210 Southtown Dr, Eau Claire, WI 54701-2635 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588281760 | Devin Rorabeck | Physical Therapist | 1355 Awatukee Trl, Hudson, WI 54016-6936 | 2020-07-03 |
| 1235755265 | Andrew Roland Olson | Physical Therapist | 1507 W Knapp St Unit 1, Rice Lake, WI 54868-1384 | 2020-06-25 |
| 1730641887 | Jessica Solfest | Physical Therapist | 301 S Westfield Rd, Madison, WI 53717-1730 | 2019-04-05 |
| 1093294068 | Andrew Bidney | Physical Therapist | 945 N 12th St Rm 1100, Milwaukee, WI 53233-1305 | 2018-08-10 |
| 1972092989 | Renew Physical Therapy and Wellness, LLC | Physical Therapist | N2919 County Road Qq, Waupaca, WI 54981 | 2018-05-04 |
| 1144753542 | Promotion Physical Therapy | Physical Therapist | 2836 Steamboat Springs Run, Green Bay, WI 54313-9220 | 2017-04-04 |
| 1962959114 | Mary E Campbell | Physical Therapist | 1249 W Liebau Rd Ste 100, Mequon, WI 53092-3397 | 2016-09-06 |
| 1255781597 | Patrick Christopherson | Physical Therapist | 11702 W North Ave, Wauwatosa, WI 53226-2132 | 2016-06-17 |
| 1730565037 | Julia Badding | Physical Therapist | 14625 W Capitol Dr Ste 200, Brookfield, WI 53005-2318 | 2015-08-10 |
| 1811221344 | Mariann Schuster | Physical Therapist | 4125 N 124th St Ste A, Brookfield, WI 53005-1837 | 2009-09-30 |
| Find all providers with the same taxonomy | ||||
| City | EAU CLAIRE |
| Zip Code | 54701 |
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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.