PT Larry A Hickok, NPI 1245304971
Orthopedic Physical Therapist in Chetek, WI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1245304971
NPI Entity Type Individual
Provider Name PT Larry A Hickok
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 831 Dallas St, Chetek, WI, US
Provider Mailing Address Po Box 3, Chetek, WI, US, 547280003
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

2251X0800X

Taxonomy Name Orthopedic Physical Therapist
Classification

Physical Therapist

Group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

License No. 4639-02
License State WI
Description A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Business Address

PT Larry A Hickok
831 Dallas St

Chetek, WI, US

Phone: 715-925-2471
Fax: 715-925-2472

Mailing Address

PT Larry A Hickok
Po Box 3
Chetek, WI, US
ZIP 547280003
Phone: 715-925-2471
Fax: 715-925-2472

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
84792 WI SECURITY HEALTH PLAN 01
6405369 WI MEDICA 01
96462 WI SECURITY HEALTH PLAN 01
810587342022 WI WIS BCBS 01
40253000 WI MEDICAID 05
601601600 WI US DEPT OF LABOR 01
810587342010 WI WIS BCBS 01
7398 WI GROUP HEALTH PLAN 01
41225700 WI MEDICAID 05
5336890002 WI ADMINISTAR FEDERAL DME MEDICARE 01
6405370 WI MEDICA 01
7397 WI GROUP HEALTH PLAN 01

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
OTHERS URL DIRECT OTHER No 831 Dallas St, Chetek, WI, US

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Organization

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Fort Healthcare, Inc

Organization

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