Nicole Rademacher

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA10861 Issued in AL

Practice address

6100 Kennerly Rd
Jacksonville, FL 32216-4368

Phone

(904) 739-9901

NPI assigned

Nov 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1295492874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 FOX HOLLOW WAY",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363059349",
            "telephone_number": "406-298-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 KENNERLY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164368",
            "telephone_number": "904-739-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADEMACHER",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AL",
            "license": "PTA10861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rawad Raid Radaa, MD
• Jeffrey Paul Radabaugh, MD
• Yazan Radaideh
• Elisa Marie Rademacher, M.A., CCC-SLP
• Logan Chase Rademacher, DO
• Carol-Ann Rademeyer, ARNP, CNM
• Patrick N Rader, DO
• Rachel Renee Rader
• Alexandra Leigh Raderstorf, APRN
• Alejandro A Radi, M.D.

• Physical Therapy Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.