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

Tamara A Nicksic, PT

Individual provider Physical Therapist · NPI 1649479544

Tamara A Nicksic, PT is a Physical Therapist in Private Practice in Saint John, Indiana. Graduated from Northwestern University Feinberg Medical School in 1988, 38 years ago. Practices with Lakeshore Bone and Joint Institute, PC, a 84-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
38
Trained at
Northwestern University Feinberg Medical School
Licensed in
IN
In the registry since
2007
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

8259 Wicker Ave
Saint John, IN 46373-8878
Phone: (219) 365-6560
Fax: (219) 365-6561
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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 05002433A (IN)

Record details

NPI number1649479544
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 12, 2007
Last updated in NPPESNovember 8, 2018
Mailing address2203 Wynnewood Dr, Valparaiso, IN 46385-2828

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 1988 (38 years in practice)
Group practice Lakeshore Bone And Joint Institute, Pc — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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