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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. PATRICK WAYNE MCNICKLE, DPT

Active

MR. PATRICK WAYNE MCNICKLE, DPT is a Physical Therapy Assistant healthcare provider located in SAINT LOUIS, Missouri. NPI 1558245258 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SAINT LOUIS, MO

Registration Details

NPI Number
1558245258
Provider Type
Individual
Gender
Male
NPI Issued
Aug 5, 2025 (1.0408746215731 yrs)
Last Updated
Sep 2, 2025
License
2025033895 (MO)

Practice Information

Address
4240 DUNCAN AVE
DEPT PHYSICAL THERAPY, STE 120
SAINT LOUIS, MO, 631101101
Browse MO providers · Browse ZIP 63110
Phone
3142861940
Fax
3142861473
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in SAINT LOUIS, MO

Name Credential NPI
MRS. CHRISTINA MARIE LAURY PHYSICAL THERAPIST 1992777833
SARA J. BENNETT PT 1912972084
KERSTIN M BENYA PT 1760441406
MRS. CYNTHIA B LECHNER PT 1265496913
TRICIA M. AUSTIN PHD, PT, ATC 1912964594
ANDREA J WATTS PT 1275581100
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.