Gregory Peter Nicholas, MPT
NPI 1215046966ActiveIndividual· Physical Therapist· Fenton, MO
Physical Therapist (MPT) with Axes Physical Therapy LLC, practicing in Fenton, Missouri. Medicare paid $16,431 for services to 24 patients in 2024.
Overview
| NPI | 1215046966 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MPT |
| Sole proprietor | No |
| NPI issued | Aug 29, 2006 |
| Last updated in NPPES | Jul 30, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2000173375 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 24 |
|---|---|
| Services billed | 820 across 9 procedure codes |
| Paid by Medicare | $16,431 |
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Axes Physical Therapy LLCSaint Peters, MO · 116 clinicians
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All 49 physical therapists in Fenton · All physical therapists in Missouri