NICHOLAS LOUIS HENNICKE
NPI 1003639725
Physical Therapist in Saint Louis, MO

Active since November 01, 2024
10199 WOODFIELD LN, SAINT LOUIS, MO 63132(877) 407-3422 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicholas Louis Hennicke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS LOUIS HENNICKE (NPI 1003639725) is an individual physical therapist in Saint Louis, Missouri, licensed in Missouri (2012023539) and active in the NPI registry since November 2024. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003639725
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameNICHOLAS LOUIS HENNICKE
Location Address10199 WOODFIELD LNSaint Louis, MO 63132-2922
Mailing Address7 Carnegie PlzCherry Hill, NJ 08003-1000
Sole ProprietorNo
Enumeration DateNovember 1, 2024
Last NPPES UpdateFebruary 24, 2025
NPPES CertifiedFebruary 24, 2025
✔ NPI 1003639725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in MO · 2012023539
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
10199 WOODFIELD LN, Saint Louis, MO 63132

Secondary Practice Locations 2

Location 11880 Clarkson RdChesterfield, MO 63017-5000 · Phone (636) 536-3800
Location 21650 High StWashington, MO 63090-4365 · Phone (877) 407-3422

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Louis Hennicke is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Nicholas Hennicke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
3330 EHLMANN RD
Saint Charles, MO 63301
  • Reassigned Medicare billing, Missouri enrollment
  • 46 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure for walking training, each 15 minutes 97116
Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.
61 services16 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
58 services15 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
36 services13 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
10199 WOODFIELD LN
SAINT LOUIS, MO 63132
In Home Supportive Care
10199 WOODFIELD LN
SAINT LOUIS, MO 63132
Clinic/Center (Adult Mental Health)
10199 WOODFIELD LN
SAINT LOUIS, MO 63132
Occupational Therapist
10199 WOODFIELD LN
SAINT LOUIS, MO 63132
Physical Therapist
10199 WOODFIELD LN
SAINT LOUIS, MO 63132
Clinical Medical Laboratory
10199 WOODFIELD LN
OLIVETTE, MO 63132
Speech-Language Pathologist
10199 WOODFIELD LN
SAINT LOUIS, MO 63132
Physical Therapist
10199 WOODFIELD LN
SAINT LOUIS, MO 63132

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Hennicke's NPI number?

The NPI number for Nicholas Hennicke is 1003639725. It was assigned to this individual provider in the NPPES registry on November 1, 2024.

Where is Nicholas Hennicke located?

Nicholas Hennicke practices at 10199 Woodfield Ln, Saint Louis, MO 63132. The listed phone number is (877) 407-3422.

What is Nicholas Hennicke's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Nicholas Hennicke enrolled in Medicare?

Yes. Nicholas Hennicke is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicholas Hennicke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Hennicke reassigns Medicare benefits to Fox Rehabilitation Services Pt Mo LLC (Saint Charles, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Hennicke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicholas Hennicke was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.