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

Nicholas Roman Riordan, DPT

Individual provider Physical Therapist · NPI 1245121938

Nicholas Roman Riordan, DPT is a Physical Therapist in Private Practice in Saint Louis, Missouri. Qualified in 2025, 1 year ago. Practices with Axes Physical Therapy LLC, a 113-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Missouri.

Years since qualifying
1
Licensed in
CO, MO
In the registry since
2025
Specialties on file
2
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

4131 Union Rd
Saint Louis, MO 63129-1064
Phone: (314) 274-9222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2706 28th St, Boulder, CO 80301-1222 — (303) 444-1290

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2025028627 (MO)
Physical Therapist Taxonomy 225100000X · Licence 21275 (CO)

Record details

NPI number1245121938
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 11, 2025
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Axes Physical Therapy Llc — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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