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Active NPI 1649479544 Individual Practitioner Female Practitioner

Tamara A Nicksic , PT

Physical Therapist • Saint John, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tamara Nicksic, PT is a certified Physical Therapist practicing in Saint John, IN. With approximately 38 years of clinical experience since graduating from Northwestern University Feinberg Medical School in 1988, Tamara Nicksic delivers high-quality medical care to the local community at 8259 WICKER AVE.

Tamara Nicksic is affiliated with Lakeshore Bone And Joint Institute, Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure using functional activities, therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8259 Wicker Ave

Saint John, IN 463738878

Telephone 2193656560
Fax 2193656561
Associated Practice Facility / Clinic
🏢 Incremedical Facility NPI 1922442151

Medicare Profile & Education

Medical School

Northwestern University Feinberg Medical School

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Saint John, IN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
38 Yrs +22.4 yrs vs City Avg
City Avg: 15.6 Yrs
State Avg: 16.0 Yrs
Regional Practice Density
13 Specialists

Practicing in Saint John, IN (4959 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nicksic (38 Years) 38 Yrs
Saint John Specialty Average (15.6 Years) 15.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97530 Therapy procedure using functional activities
259 91 $73.00 $24.45
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
96 71 $92.00 $21.00
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
77 57 $49.00 $8.22
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
57 30 $90.00 $24.36
97162 Evaluation for physical therapy, typically 30 minutes
52 51 $218.00 $92.84
97161 Evaluation of physical therapy, typically 20 minutes
32 31 $175.00 $90.85
97116 Walking training to 1 or more areas, each 15 minutes
14 12 $81.00 $21.24

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License IN 05002433A

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Lpt
05002433A (IN)

Hospital & Practice Group Affiliations

Lakeshore Bone And Joint Institute, Pc

3691 Willowcreek Rd, Portage, IN 463685076

Phone: 2199211444

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Rebecca Mckinney , PTA

Physical Therapy Assistant

NPI 1083324552

Physical Therapist Assistant

Michelle Coil , OT

Occupational Therapist

NPI 1598858151

Occupational Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated November 08, 2018

Recorded as TAMARA NICKSIC, PT

NPI Profile Active December 20, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 20, 2016

Registered at 8259 WICKER AVE, SAINT JOHN, IN 463738878 (Tel: 2193656560)

📍
Updated Business Mailing Address December 20, 2016

Registered at 2203 WYNNEWOOD DR, VALPARAISO, IN 463852828 (Tel: 2197895865)

👤
Provider Name / Credentials Updated December 20, 2016

Recorded as TAMARA NICKSIC, LPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2016

Physical Therapist (License #05002433A in IN)

🟢
Initial NPI Registration & Enumeration July 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649479544
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2007
Last Update: November 08, 2018
Sole Proprietor: No

Mailing Address

2203 Wynnewood Dr

Valparaiso, IN 463852828

Phone: 2197895865

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.