Kurtis Pcolka

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT30418 Issued in FL

Practice address

4495 Roosevelt Blvd
Jacksonville, FL 32210-3375

Phone

(904) 384-4212

NPI assigned

Aug 7, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, CO2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic Centers of Colorado LLCGroup PAC ID 2365714540, shared by 18 NPIs, 327 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Premier Physical Therapy and Rehabilitation of Jacksonville, Inc.

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1467594358
  Medicare reassignment NPD
• Southern Colorado Clinic PC

  • Clinic/Center
  • Pueblo, CO
  • NPI 1285613554
  Medicare reassignment
• Premier Physical Therapy and Rehabilitation of Jacksonville, Inc

  • Specialist
  • Jacksonville, FL
  • NPI 1285062851
  NPD (past)
• Premier Physical Therapy and Rehabilitation of Jacksonville, Inc

  • Physical Therapist
  • Ponte Vedra Beach, FL
  • NPI 1821855586
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1083090534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14251 PORTULACA AVE S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322243833",
            "telephone_number": "321-432-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4495 ROOSEVELT BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103375",
            "telephone_number": "904-384-4212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8101 E Lowry Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802307195",
            "country_code": "US",
            "telephone_number": "303-344-9090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Inverness Dr E Ste 120",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801125172",
            "country_code": "US",
            "telephone_number": "720-324-9380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PCOLKA",
        "first_name": "KURTIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-07",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT30418",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anthony Noriel Paz, PT
• Maybelle Paz, PT
• Peabody Alf Inc
• Peaceful Presence, LLC
• Peaceful Soul Therapy and Counseling Services LLC
• Peaches-NA-Basket Adult Day Care
• Peaches-NA-Basket Adult Day Care Center, Inc.

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.