JARED R NIKODEM PT
NPI 1003602434
Physical Therapist in Jacksonville, FL

Active since April 15, 2025Accepts Medicare Assignment
484 RIVERSIDE AVE, JACKSONVILLE, FL 32202(904) 579-2824 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jared R Nikodem Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JARED R NIKODEM PT (NPI 1003602434) is an individual physical therapist in Jacksonville, Florida, licensed in Florida (PT42922) and active in the NPI registry since April 2025. He is a graduate of University Of Wisconsin School Of Medicine (2024).

NPPES Registry Identity

NPI1003602434
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJARED R NIKODEMCredential: PT
Location Address484 RIVERSIDE AVEJacksonville, FL 32202-4912
Mailing AddressPo Box 932184Atlanta, GA 31193-2184 · (856) 678-3484
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2024
Enumeration DateApril 15, 2025
NPPES CertifiedApril 14, 2025
✔ NPI 1003602434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in FL · PT42922
Definition
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:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • 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.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
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.
484 RIVERSIDE AVE, Jacksonville, FL 32202

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jared R Nikodem Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436677127
PECOS Enrollment IDI20250516000770

Medicare Billing Reassignments

2

Medicare enrollment records show Jared Nikodem reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rehabilitation
3270 TAMAYA BLVD
Jacksonville, FL 32246
  • Reassigned Medicare billing, Florida enrollment
  • 60 clinicians in this Medicare group
Rehabilitation
100 JOHN KNOX RD STE H2
Tallahassee, FL 32303
  • Reassigned Medicare billing, Florida enrollment
  • 61 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
484 RIVERSIDE AVE
JACKSONVILLE, FL 32202
Occupational Therapist
484 RIVERSIDE AVE
JACKSONVILLE, FL 32202
Occupational Therapist
484 RIVERSIDE AVE
JACKSONVILLE, FL 32202
Occupational Therapist
484 RIVERSIDE AVE
JACKSONVILLE, FL 32202
Physical Therapist
484 RIVERSIDE AVE
JACKSONVILLE, FL 32202
Physical Therapist
484 RIVERSIDE AVE
JACKSONVILLE, FL 32202
Occupational Therapist
484 RIVERSIDE AVE
JACKSONVILLE, FL 32202
Physical Therapist
484 RIVERSIDE AVE
JACKSONVILLE, FL 32202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jared Nikodem's NPI number?

The NPI number for Jared Nikodem is 1003602434. It was assigned to this individual provider in the NPPES registry on April 15, 2025.

Where is Jared Nikodem located?

Jared Nikodem practices at 484 Riverside Ave, Jacksonville, FL 32202. The listed phone number is (904) 579-2824.

What is Jared Nikodem's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jared Nikodem enrolled in Medicare?

Yes. Jared Nikodem is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jared Nikodem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jared Nikodem reassigns Medicare benefits to 2 organizations: Burke Collins Therapy, Inc (Jacksonville, FL) and H2 Rehabilitation Services Of Florida LLC (Tallahassee, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jared Nikodem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jared Nikodem was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.