Erin Ann Nickenig, PT, DPT, BCB-PMD

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3482 Issued in AR

Practice address

210 N Walton Blvd Ste 26
Bentonville, AR 72712-5081

Phone

(479) 440-4147

NPI assigned

Jul 13, 2009

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

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renew Physical Therapy PLLCGroup PAC ID 9133526262, 7 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.

• Renew Physical Therapy PLLC

  • Physical Therapist
  • Bentonville, AR
  • NPI 1699443119
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1043449903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N WALTON BLVD STE 26",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125081",
            "telephone_number": "479-440-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N WALTON BLVD STE 26",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125081",
            "telephone_number": "479-440-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKENIG",
        "first_name": "ERIN",
        "middle_name": "ANN",
        "credential": "PT, DPT, BCB-PMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "3482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loren Neylan
• Leina Nakamura Nguyen, LCSW
• Pha Nguyen, PHARM.D
• Amelia Tarajane Nichols
• Prezlie Nichols
• Nicole Plummer LLC
• Theresa R Nida
• Thomas Niemela, DC
• Nits End, LLC
• Courtney Elise Nixon, APRN

• Physical Therapist in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.