Individual provider Active NPI

Michelle Elizabeth Varney Slike, PT, DPT

  • Physical Therapist
  • Bangor, ME
National Provider Identifier
1750818365
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3814 Issued in ME
Practice address
1365 Broadway
Bangor, ME 04401
Phone
(207) 942-2233
Fax
(207) 262-1130
NPI assigned
May 12, 2017
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT3814 ME Primary

Addresses

Primary practice location

1365 Broadway
Bangor, ME 04401

Mailing address

62 Graham Ave S
Bangor, ME 04401-5879
Phone (207) 249-6621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Interventional Pain Specialists PC CurrentSince May 25, 2025 Accepting new patients
Deabay Mobile Physical Therapy, LLC Physical Therapist CurrentSince Mar 4, 2025 Accepting new patients

Locations

336 Mount Hope Ave
Ste 9
Bangor, ME 04401
Phone (207) 249-6621

840 Hammond St
Ste 2
Bangor, ME 04401
Phone (207) 300-4027

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1750818365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 GRAHAM AVE S",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015879",
            "telephone_number": "207-249-6621",
            "fax_number": "207-512-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 BROADWAY",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-942-2233",
            "fax_number": "207-262-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLIKE",
        "first_name": "MICHELLE",
        "middle_name": "ELIZABETH VARNEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-12",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT3814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.