Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Austin D Hickok, PA-C

Individual provider Physician Assistant · NPI 1265021042

Mr. Austin D Hickok, PA-C is a Physician Assistant in Portage, Michigan. Qualified in 2020, 6 years ago. Practices with Powerback Rehabilitation LLC, a 616-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
6
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

7901 Angling Rd
Portage, MI 49024-0714
Phone: (269) 324-8600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1265021042
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 15, 2021
Last updated in NPPESJuly 13, 2021
Certification dateJuly 13, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Powerback Rehabilitation Llc — 616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Portage