Tamara A. Nicksic, PT
NPI 1649479544ActiveIndividual· Physical Therapist· Saint John, IN
Physical Therapist (PT) in Saint John, Indiana, trained at Northwestern University Feinberg Medical School (class of 1988). Medicare paid $14,187 for services to 93 patients in 2024.
Overview
| NPI | 1649479544 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Jul 12, 2007 |
| Last updated in NPPES | Nov 8, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 05002433A | IN |
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 (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 93 |
|---|---|
| Services billed | 615 across 10 procedure codes |
| Paid by Medicare | $14,187 |
Education and affiliations
| Medical school | Northwestern University Feinberg Medical School |
|---|---|
| Graduation year | 1988 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Lakeshore Bone and Joint Institute, PCPortage, IN · 81 clinicians
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All 16 physical therapists in Saint John · All physical therapists in Indiana