MR. PATRICK WAYNE MCNICKLE DPT
NPI 1558245258
Physical Therapist in Saint Louis, MO

Active since August 05, 2025Accepts Medicare Assignment
4240 DUNCAN AVE, DEPT PHYSICAL THERAPY, STE 120, SAINT LOUIS, MO 63110(314) 286-1940(314) 286-1473 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2025, Aug 5, 2025 (2 updates tracked since 2025).

About Mr. Patrick Wayne Mcnickle Dpt NPPES

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

MR. PATRICK WAYNE MCNICKLE DPT (NPI 1558245258) is an individual physical therapist in Saint Louis, Missouri, licensed in Missouri (2025033895) and active in the NPI registry since August 2025. He is a graduate of Mayo Medical School (2025).

NPPES Registry Identity

NPI1558245258
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. PATRICK WAYNE MCNICKLECredential: DPT
Location Address4240 DUNCAN AVE, DEPT PHYSICAL THERAPY, STE 120Saint Louis, MO 63110-1101
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 286-1940 · Fax (314) 286-1473
Fax(314) 286-1473
Sole ProprietorNo
Medical School CMSMayo Medical SchoolGraduated 2025
Enumeration DateAugust 5, 2025
Last NPPES UpdateSeptember 2, 20252 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
NPI 1558245258 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 · 2025033895
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.
4240 DUNCAN AVE, Saint Louis, MO 63110

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Patrick Wayne Mcnickle Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527555127
PECOS Enrollment IDI20251016003015

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Physical Therapist
4240 DUNCAN AVE, DEPT PHYSICAL THERAPY, STE 120
SAINT LOUIS, MO 63110
Physical Therapist
4240 DUNCAN AVE, DEPT PHYSICAL THERAPY, STE 120
SAINT LOUIS, MO 63110
Physical Therapist
4240 DUNCAN AVE, DEPT PHYSICAL THERAPY, STE 120
SAINT LOUIS, MO 63110
Physical Therapist
4240 DUNCAN AVE, DEPT PHYSICAL THERAPY, STE 120
SAINT LOUIS, MO 63110
Physical Therapist
4240 DUNCAN AVE, DEPT PHYSICAL THERAPY, STE 120
SAINT LOUIS, MO 63110
Physical Therapist
4240 DUNCAN AVE, DEPT PHYSICAL THERAPY, STE 120
SAINT LOUIS, MO 63110
Physical Therapist
4240 DUNCAN AVE, DEPT PHYSICAL THERAPY, STE 120
SAINT LOUIS, MO 63110
Physical Therapist
4240 DUNCAN AVE, DEPT PHYSICAL THERAPY, STE 120
SAINT LOUIS, MO 63110

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 Patrick Mcnickle's NPI number?

The NPI number for Patrick Mcnickle is 1558245258. It was assigned to this individual provider in the NPPES registry on August 5, 2025.

Where is Patrick Mcnickle located?

Patrick Mcnickle practices at 4240 Duncan Ave Dept Physical Therapy, Ste 120, Saint Louis, MO 63110. The listed phone number is (314) 286-1940.

What is Patrick Mcnickle's specialty?

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

Is Patrick Mcnickle enrolled in Medicare?

Yes. Patrick Mcnickle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Patrick Mcnickle was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.