KURTIS PCOLKA
NPI 1083090534
Physical Therapist in Jacksonville, FL

Active since August 07, 2015Accepts Medicare Assignment
4495 ROOSEVELT BLVD, JACKSONVILLE, FL 32210(904) 384-4212 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kurtis Pcolka NPPES

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

KURTIS PCOLKA (NPI 1083090534) is an individual physical therapist in Jacksonville, Florida, licensed in Florida (PT30418) and active in the NPI registry since August 2015. He maintains 2 additional practice locations and is a graduate of Other (2015).

NPPES Registry Identity

NPI1083090534
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameKURTIS PCOLKA
Location Address4495 ROOSEVELT BLVDJacksonville, FL 32210-3375
Mailing Address14251 Portulaca Ave SJacksonville, FL 32224-3833 · (321) 432-8966
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 7, 2015
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1083090534 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 · PT30418
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.
4495 ROOSEVELT BLVD, Jacksonville, FL 32210

Secondary Practice Locations 2

Location 1145 Inverness Dr E Ste 120Englewood, CO 80112-5172 · Phone (720) 324-9380
Location 28101 E Lowry Blvd Ste 230Denver, CO 80230-7195 · Phone (303) 344-9090

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

Kurtis Pcolka 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 ID7012299944
PECOS Enrollment IDI20240614001666

Medicare Billing Reassignments

3

Medicare enrollment records show Kurtis Pcolka reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
4320 PABLO PROFESSIONAL CT # 155
Jacksonville, FL 32224
  • Reassigned Medicare billing, Florida enrollment
  • 14 clinicians in this Medicare group
Clinic/Center
3676 PARKER BLVD
Pueblo, CO 81008
  • Reassigned Medicare billing, Colorado enrollment
  • 49 clinicians in this Medicare group
Orthopaedic Surgery
8101 E LOWRY BLVD STE 120
Denver, CO 80230
  • Reassigned Medicare billing, Colorado enrollment
  • 395 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 32210 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 10

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

Physical Therapy Assistant
4495 ROOSEVELT BLVD, SUITE #317
JACKSONVILLE, FL 32210
Otolaryngology
4495 ROOSEVELT BLVD, SUITE 304-183
JACKSONVILLE, FL 32210
Family Medicine
4495 ROOSEVELT BLVD, SUITE 316
JACKSONVILLE, FL 32210
Pharmacist
4495 ROOSEVELT BLVD
JACKSONVILLE, FL 32210
Pharmacist
4495 ROOSEVELT BLVD, STE E-1
JACKSONVILLE, FL 32210
Optometrist
4495 ROOSEVELT BLVD, 101
JACKSONVILLE, FL 32210
Pharmacist
4495 ROOSEVELT BLVD, E1
JACKSONVILLE, FL 32210
Family Medicine
4495 ROOSEVELT BLVD, SUITE 316
JACKSONVILLE, FL 32210

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 Kurtis Pcolka's NPI number?

The NPI number for Kurtis Pcolka is 1083090534. It was assigned to this individual provider in the NPPES registry on August 7, 2015.

Where is Kurtis Pcolka located?

Kurtis Pcolka practices at 4495 Roosevelt Blvd, Jacksonville, FL 32210. The listed phone number is (904) 384-4212.

What is Kurtis Pcolka's specialty?

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

Is Kurtis Pcolka enrolled in Medicare?

Yes. Kurtis Pcolka 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 Kurtis Pcolka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kurtis Pcolka reassigns Medicare benefits to 3 organizations: Premier Physical Therapy And Rehabilitation Of Jacksonville, Inc. (Jacksonville, FL), Southern Colorado Clinic PC (Pueblo, CO) and Orthopedic Centers Of Colorado, LLC (Denver, CO). 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 Kurtis Pcolka'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 Kurtis Pcolka was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.