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

Nicholas Weber, MPT

Individual provider Physical Therapist · NPI 1063466019

Nicholas Weber, MPT is a Physical Therapist in Private Practice in Saint Peters, Missouri. Qualified in 2005, 21 years ago. Accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
21
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.

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Practice location Address checks out

4800 Mexico Rd Ste 104
Saint Peters, MO 63376-1666
Phone: (636) 939-9540
Fax: (636) 939-9886
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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 2005017285 (MO)

Record details

NPI number1063466019
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedMay 22, 2006
Last updated in NPPESMay 12, 2016
Mailing address607 Dewey Ave Nw, Ste 300, Grand Rapids, MI 49504-7335

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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