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

Mr. Patrick Wayne McNickle, DPT

Individual provider Physical Therapist · NPI 1558245258

Mr. Patrick Wayne McNickle, DPT is a Physical Therapist in Private Practice in Saint Louis, Missouri. Graduated from Mayo Medical School in 2025, 1 year ago. Practices with Washington University, a 2,986-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
1
Trained at
Mayo Medical School
Licensed in
MO
In the registry since
2025
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4240 Duncan Ave Dept Physical Therapy Ste 120
Saint Louis, MO 63110-1101
Phone: (314) 286-1940
Fax: (314) 286-1473
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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 2025033895 (MO)

Record details

NPI number1558245258
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 5, 2025
Last updated in NPPESSeptember 2, 2025
Certification dateAugust 5, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolMAYO MEDICAL SCHOOL
Graduated 2025 (1 years in practice)
Group practice Washington University — 2986 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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