Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jared R Nikodem, PT

Individual provider Physical Therapist · NPI 1003602434

Jared R Nikodem, PT is a Physical Therapist in Private Practice in Jacksonville, Florida. Graduated from University of Wisconsin School of Medicine in 2024, 2 years ago. Practices with Burke Collins Therapy, Inc, an 11-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Trained at
University of Wisconsin School of Medicine
Licensed in
FL
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

484 Riverside Ave
Jacksonville, FL 32202-4912
Phone: (904) 579-2824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT42922 (FL)

Record details

NPI number1003602434
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 15, 2025
Last updated in NPPESApril 15, 2025
Certification dateApril 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Burke Collins Therapy, Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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