Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Gregory Peter Nicholas, MPT

Individual provider Physical Therapist · NPI 1215046966

Mr. Gregory Peter Nicholas, MPT is a Physical Therapist in Private Practice in Fenton, Missouri. Qualified in 2000, 26 years ago. Practices with Axes Physical Therapy LLC, a 113-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
26
Licensed in
MO
In the registry since
2006
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

552 Old Smizer Mill Rd
Fenton, MO 63026
Phone: (636) 349-8060
Fax: (636) 349-9171
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2000173375 (MO)

Record details

NPI number1215046966
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESJuly 30, 2019
Mailing address4273 Keaton Crossing Blvd, O Fallon, MO 63368-8220

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Axes Physical Therapy Llc — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fenton