GRACIE CLICKOVICH DPT
NPI 1144011586
Physical Therapist in Fort Wayne, IN

Active since May 15, 2025Accepts Medicare Assignment
12722 TONKEL RD STE 102, FORT WAYNE, IN 46845(260) 739-0300 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gracie Clickovich Dpt NPPES

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

GRACIE CLICKOVICH DPT (NPI 1144011586) is an individual physical therapist in Fort Wayne, Indiana and active in the NPI registry since May 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1144011586
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameGRACIE CLICKOVICHCredential: DPT
Location Address12722 TONKEL RD STE 102Fort Wayne, IN 46845-8201
Mailing Address12722 Tonkel Rd Ste 102Fort Wayne, IN 46845-8201 · (260) 739-0300
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 15, 2025
NPPES CertifiedMay 15, 2025
✔ NPI 1144011586 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
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.
12722 TONKEL RD STE 102, Fort Wayne, IN 46845

Accepted Insurance

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

Gracie Clickovich Dpt 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 ID4880105998
PECOS Enrollment IDI20250616003222

Medicare Billing Reassignment

Medicare enrollment records show Gracie Clickovich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopedic
12722 TONKEL RD STE 102
Fort Wayne, IN 46845
  • Reassigned Medicare billing, Indiana enrollment
  • 24 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 46845 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Physical Therapist (Orthopedic)
12722 TONKEL RD STE 102
FORT WAYNE, IN 46845
Occupational Therapist
12722 TONKEL RD STE 102
FORT WAYNE, IN 46845
Physical Therapist (Orthopedic)
12722 TONKEL RD STE 102
FORT WAYNE, IN 46845
Physical Therapist
12722 TONKEL RD STE 102
FORT WAYNE, IN 46845
Occupational Therapist
12722 TONKEL RD STE 102
FORT WAYNE, IN 46845
Physical Therapist
12722 TONKEL RD STE 102
FORT WAYNE, IN 46845
Physical Therapist (Orthopedic)
12722 TONKEL RD STE 102
FORT WAYNE, IN 46845
Physical Therapist
12722 TONKEL RD STE 102
FORT WAYNE, IN 46845

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 Gracie Clickovich's NPI number?

The NPI number for Gracie Clickovich is 1144011586. It was assigned to this individual provider in the NPPES registry on May 15, 2025.

Where is Gracie Clickovich located?

Gracie Clickovich practices at 12722 Tonkel Rd Ste 102, Fort Wayne, IN 46845. The listed phone number is (260) 739-0300.

What is Gracie Clickovich's specialty?

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

Is Gracie Clickovich enrolled in Medicare?

Yes. Gracie Clickovich 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 organization bills Medicare for Gracie Clickovich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gracie Clickovich reassigns Medicare benefits to Protailored Physical Therapy LLC (Fort Wayne, IN). The 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 Gracie Clickovich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gracie Clickovich accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Gracie Clickovich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gracie Clickovich was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.