Missouri Spine Care, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MISSOURI SPINE CARE, LLC

Practice address

3555 Sunset Office Dr
Suite C110
Saint Louis, MO 63127-1015

Phone

(314) 965-5050

Fax

(314) 966-5565

NPI assigned

Mar 9, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew David Goodwin, D.C.

Title

President

Phone

(314) 965-5050

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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.

• John Michael Goodwin, D.C.

  • Chiropractor
  • O'Fallon, MO
  • NPI 1548354061
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1568594232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 SUNSET OFFICE DR",
            "address_2": "SUITE C110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271015",
            "telephone_number": "314-965-5050",
            "fax_number": "314-966-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 SUNSET OFFICE DR",
            "address_2": "SUITE C110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271015",
            "telephone_number": "314-965-5050",
            "fax_number": "314-966-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI SPINE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-965-5050",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Missouri Probation Supervision Services, Inc. (Assessment, Counseling and Enrichment Services, (ACES))
• Missouri Professional Health Services
• Missouri Renal Medicine
• Missouri Residential Care LLC (Chateau Ann Marie)
• Missouri School for the Blind
• Missouri Veterans Commission (Missouri Veterans Home St. Louis)
• Missouri Veterans Healthcare Services LLC
• Frank J Mistretta, D.C.
• Katherine Lynn Mistretta, MD
• Aloo Tehmton Mistry, MD

• Physical Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physical Therapist in Missouri

• 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.