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Active NPI 1215046966 Individual Practitioner Male Practitioner

Gregory Peter Nicholas , MPT

Physical Therapist • Fenton, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Gregory Nicholas, MPT is a certified Physical Therapist practicing in Fenton, MO. With approximately 26 years of clinical experience since completing medical education in 2000, Gregory Nicholas delivers high-quality medical care to the local community at 552 OLD SMIZER MILL RD.

Gregory Nicholas is affiliated with Axes Physical Therapy Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure to re-educate brain-to-nerve-to-muscle function, each, therapy procedure using functional activities. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

552 Old Smizer Mill Rd

Fenton, MO 63026

Telephone 6363498060
Fax 6363499171
Associated Practice Facility / Clinic
🏢 Jessica C. Nieva Dds P.c. Facility NPI 1831349232

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Fenton, MO

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs +13.1 yrs vs City Avg
City Avg: 12.9 Yrs
State Avg: 16.2 Yrs
Regional Practice Density
47 Specialists

Practicing in Fenton, MO (4573 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nicholas (26 Years) 26 Yrs
Fenton Specialty Average (12.9 Years) 12.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
250 22 $81.00 $21.85
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
224 22 $77.27 $26.69
97530 Therapy procedure using functional activities
160 23 $92.00 $32.93
97140 Therapy procedure using manual technique, each 15 minutes
101 16 $65.00 $20.13
97161 Evaluation of physical therapy, typically 20 minutes
21 20 $154.00 $96.08

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License MO 2000173375

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: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.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. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.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.

Hospital & Practice Group Affiliations

Axes Physical Therapy Llc

118 Richardson Xing, Arnold, MO 630106023

Phone: 6362064146

Axes Physical Therapy Llc

4273 Keaton Crossing Blvd, O Fallon, MO 633688220

Phone: 6362066540

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Shelia Tenny , OTRL

Occupational Therapist

NPI 1023142650

Occupational Therapist Registered & Licensed

James Grainger

Physical Therapist

NPI 1144047283
Mark Roshell , MS PT

Physical Therapist

NPI 1457460107

Master of Science in Physical Therapy

Dr. Adam Ernst , DPT

Physical Therapist

NPI 1528847936

Doctor of Physical Therapy

Kristine Decollo , MSPT

Physical Therapist

NPI 1568616522

Master of Science in Physical Therapy

Dr. Andrea Ford , DPT

Physical Therapist

NPI 1609518398

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address July 30, 2019

Registered at 4273 KEATON CROSSING BLVD, O FALLON, MO 633688220 (Tel: 6362064225)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 552 OLD SMIZER MILL RD, FENTON, MO 63026 (Tel: 6363498060)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3538 ST MARTIN'S, ARNOLD, MO 63010 (Tel: 6364645362)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as GREGORY NICHOLAS, MPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physical Therapist (License #2000173375 in MO)

🟢
Initial NPI Registration & Enumeration August 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215046966
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2006
Last Update: July 30, 2019
Sole Proprietor: No

Mailing Address

4273 Keaton Crossing Blvd

O Fallon, MO 633688220

Phone: 6362064225

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.