LARRY A HICKOK (PT) – Physical Therapist, NPI 1245304971
Physical Therapist
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NPPES metrics only — not quality of care.
1,991 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI
Provider Addresses for LARRY A HICKOK (PT)
205 E Hill St
Thorp, WI 547717630
Phone: (800) 974-4378
Fax: (630) 515-1536
Type: Location
708 W Washington St
Augusta, WI 547229085
Phone: (800) 974-4378
Fax: (630) 515-1536
Type: Location
24014 W RENWICK RD UNIT 206
PLAINFIELD, IL 605448711
Phone: (800) 974-4378
Fax: (630) 515-1536
Type: Mailing
831 DALLAS ST
CHETEK, WI 547285811
Phone: (800) 974-4378
Fax: (630) 515-1536
Type: Location
PO BOX 3
CHETEK, WI 547280003
Phone: (715) 925-2471
Fax: (715) 925-2472
Type: Mailing
836, Richard Drive, Eau Claire, Eau Claire County, Wisconsin, 54701, United States
SUITE B
EAU CLAIRE, WI 547016242
Phone: (715) 834-5850
Fax: (507) 387-7368
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-08-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040826000097 | I | Physical Therapist In Private Practice | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 3,246 | 124 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 988 | 100 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 418 | 57 | $0 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 93 | 83 | $0 |
| 97116 | Therapy procedure for walking training, each 15 minutes | 77 | 23 | $0 |
Insurance plans in this area (ZIP 54771)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | WI | 97001 | Physical therapy evaluation | 103 | 95 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | WI | |
| - | IL | |
| - | MI | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | MI | |
| Physical Therapist In Private Practice | IL | |
| - | IL |
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