Organization Active NPI

West County Physical Medicine

  • Physical Therapist
  • Valley Park, MO
National Provider Identifier
1083811731
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00996 Issued in MO
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

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Matthew Worth, D.C.NPI 1205922283
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)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN0400X 00006485 MO
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.