Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Erin Ann Nickenig, PT, DPT, BCB-PMD

Individual provider Physical Therapist · NPI 1043449903

Erin Ann Nickenig, PT, DPT, BCB-PMD is a Physical Therapist in Private Practice in Bentonville, Arkansas. Qualified in 2007, 19 years ago. Practices with Renew Physical Therapy PLLC, a 7-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
19
Licensed in
AR
In the registry since
2009
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

210 N Walton Blvd Ste 26
Bentonville, AR 72712-5081
Phone: (479) 440-4147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 3482 (AR)

Record details

NPI number1043449903
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT , BCB-PMD
Sole proprietorNo
NPI enumeratedJuly 13, 2009
Last updated in NPPESJanuary 2, 2026
Certification dateJanuary 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Renew Physical Therapy Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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