Active NPI
West County Physical Medicine
- Physical Therapist
- Valley Park, MO
National Provider Identifier
1083811731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00996
- Legal business name
- WEST COUNTY PHYSICAL MEDICINE
- Practice address
- 2007 Smizer Station Rd
Valley Park, MO 63088-2097 - Phone
- (636) 861-8558
- NPI assigned
- Jun 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew Worth, D.C.
- Title
- Member Manager
- Phone
- (636) 861-8558
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 00006485 | MO | |
| Physical Therapist | 225100000X | 00996 | MO | Primary |
Addresses
Primary practice location
2007 Smizer Station Rd
Valley Park, MO 63088-2097
Mailing address
PO Box 672
Fenton, MO 63026-0672
Phone (636) 861-8558
National Provider Directory
National Provider DirectoryLocations
2007 Smizer Station Rd
Valley Park, MO 63088
Phone (636) 861-8558
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurology Chiropractor
- Valley Park, MO
- NPI 1205922283
-
- Physical Therapist
- Valley Park, MO
- NPI 1588861454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1083811731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 672",
"city": "FENTON",
"state": "MO",
"postal_code": "630260672",
"telephone_number": "636-861-8558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2007 SMIZER STATION RD",
"city": "VALLEY PARK",
"state": "MO",
"postal_code": "630882097",
"telephone_number": "636-861-8558"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST COUNTY PHYSICAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-27",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "WORTH",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "MEMBER MANAGER",
"authorized_official_telephone_number": "636-861-8558",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Neurology",
"state": "MO",
"license": "00006485",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MO",
"license": "00996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Park, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.