Bartosz Michal Nikiciuk, P.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

P14788 Issued in NC

Practice address

11218 Providence Rd W Ste C
Charlotte, NC 28277-4787

Phone

(704) 780-1558

Fax

(704) 780-1108

NPI assigned

Mar 13, 2008

Last updated

Jul 8, 2025By the provider in NPPES

Sex

Male

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 NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolina PT Solutions LLCGroup PAC ID 9335521178, 2 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carolina PT Solutions LLC

  dba Fyzical Therapy and Balance Centers

  • Physical Therapy Clinic/Center
  • Charlotte, NC
  • NPI 1710639190
  Medicare reassignment Care Compare group NPD Authorized official
• Carolina Bone & Joint PA

  • Rheumatology Physician
  • Charlotte, NC
  • NPI 1619030079
  NPD (past)
• Action Care Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
  • NPI 1134713431
  NPD (past)

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1619148087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11218 PROVIDENCE RD W STE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774787",
            "telephone_number": "704-780-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11218 PROVIDENCE RD W STE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774787",
            "telephone_number": "704-780-1558",
            "fax_number": "704-780-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKICIUK",
        "first_name": "BARTOSZ",
        "middle_name": "MICHAL",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-13",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "P14788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Nieves
• Michael Niewiadomski, PH.D.
• Lauren Nifong, M.A., BCBA, LBA
• Mukesh Kumar Nigam, MD
• Nyaka Niilampti, PH.D.
• Nikki's Tattoo Studio, Inc
• Pouneh Mofrad Nikrooz, MD
• Sara Wright Nilsson, MSW, LCSWA
• Olivia Bedell Nimley
• Nimon (Haven Community Care Services)

• Specialist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.