Larry A. Hickok, PT
NPI 1245304971ActiveIndividual· Physical Therapist· Chetek, WI
Physical Therapist (PT) with Dpt Holdings LLC, practicing in Chetek, Wisconsin. Medicare paid $51,085 for services to 107 patients in 2024.
Overview
| NPI | 1245304971 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Nov 17, 2006 |
| Last updated in NPPES | May 8, 2024 |
| Certified by provider | May 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 4639-24 | WI |
| Physical Therapist, Orthopedic | 2251X0800X | 4639-02 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 107 |
|---|---|
| Services billed | 2,757 across 11 procedure codes |
| Paid by Medicare | $51,085 |
Education and affiliations
| Graduation year | 1993 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Dpt Holdings LLCLisle, IL · 175 clinicians
Other physical therapists in Chetek
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