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BARTOSZ MICHAL NIKICIUK P.T.
NPI 1619148087
Specialist in Charlotte, NC

Active since March 13, 2008Accepts Medicare Assignment
11218 PROVIDENCE RD W STE C, CHARLOTTE, NC 28277(704) 780-1558(704) 780-1108 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2025, Apr 11, 2023 (2 updates tracked since 2023).

About Bartosz Michal Nikiciuk P.t. NPPES

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

BARTOSZ MICHAL NIKICIUK P.T. (NPI 1619148087) is an individual specialist in Charlotte, North Carolina, licensed in North Carolina (P14788) and active in the NPI registry since March 2008. He is a graduate of Other (2001).

NPPES Registry Identity

NPI1619148087
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameBARTOSZ MICHAL NIKICIUKCredential: P.T.
Location Address11218 PROVIDENCE RD W STE CCharlotte, NC 28277-4787
Mailing Address11218 Providence Rd W Ste CCharlotte, NC 28277-4787 · (704) 780-1558
Phone(704) 780-1558
Fax(704) 780-1108
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 13, 2008
Last NPPES UpdateJuly 8, 20252 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1619148087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NC · P14788
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
11218 PROVIDENCE RD W STE C, Charlotte, NC 28277
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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

Bartosz Michal Nikiciuk P.t. 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 ID840252672
PECOS Enrollment IDI20150701000482

Medicare Billing Reassignment

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

Carolina Pt Solutions LLC
Same address
Physical Therapy
11218 PROVIDENCE RD W STE C
Charlotte, NC 28277
  • Reassigned Medicare billing, North Carolina enrollment
  • 3 clinicians in this Medicare group
NPI 1710639190 (704) 780-1558

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
2,358 services148 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
677 services127 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
560 services75 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
276 services49 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
100 services92 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
45 services45 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TEMELIA KIRK DPT
Specialist
11218 PROVIDENCE RD W STE C
CHARLOTTE, NC 28277
Mecklenburg County (704) 780-1558
CAROLINA PT SOLUTIONS LLC
Clinic/Center (Physical Therapy)
11218 PROVIDENCE RD W STE C
CHARLOTTE, NC 28277
Mecklenburg County (704) 780-1558
KYLE ALEXANDER KIPPING PT, DPT
Physical Therapist
11218 PROVIDENCE RD W STE C
CHARLOTTE, NC 28277
Mecklenburg County (704) 780-1558

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 Bartosz Nikiciuk's NPI number?

The NPI number for Bartosz Nikiciuk is 1619148087. It was assigned to this individual provider in the NPPES registry on March 13, 2008.

Where is Bartosz Nikiciuk located?

Bartosz Nikiciuk practices at 11218 Providence Rd W Ste C, Charlotte, NC 28277. The listed phone number is (704) 780-1558.

What is Bartosz Nikiciuk's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Bartosz Nikiciuk enrolled in Medicare?

Yes. Bartosz Nikiciuk 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 Bartosz Nikiciuk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bartosz Nikiciuk reassigns Medicare benefits to Carolina Pt Solutions LLC (Charlotte, NC). 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 Bartosz Nikiciuk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bartosz Nikiciuk was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.