Meghan Nikonchuk, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

040-0003738 Issued in VT

Practice address

1205 North Ave
Burlington, VT 05408-2751

Phone

(802) 383-0400

Fax

(802) 383-0420

NPI assigned

Aug 6, 2007

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 VT

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

Appletree Bay Physical Therapy, IncGroup PAC ID 2264414499, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Appletree Bay Physical Therapy, Inc

  • Orthopedic Physical Therapist
  • Burlington, VT
  • NPI 1811955081
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1235320144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 NORTH AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054082751",
            "telephone_number": "802-383-0400",
            "fax_number": "802-383-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 NORTH AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054082751",
            "telephone_number": "802-383-0400",
            "fax_number": "802-383-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKONCHUK",
        "first_name": "MEGHAN",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VT",
            "license": "040-0003738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth K Nickerson, M.D.
• Rhys William Niedecker, MD
• Kirsten Nielsen, N.D.
• Sandra Nigolian, MSW, LICSW
• Valerie Niklas, MA, LCMHC
• Donna L Nimec, MD
• Tracey Niquette, NP
• No Diet Dietitian, LLC
• Noah O'Leary Counseling PLLC
• Natalie Noble

• Orthopedic Physical Therapist in Burlington, VT
• Providers in Burlington, VT by specialty
• Orthopedic Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.