STEADFAST SPINE AND SPORTS MEDICINE OF WARRENTON LLC
NPI 1366283467
Clinic/Center in Warrenton, MO

Active since June 03, 2024
1428 N STATE HIGHWAY 47 STE B, WARRENTON, MO 63383(636) 456-2966 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Steadfast Spine And Sports Medicine Of Warrenton Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEADFAST SPINE AND SPORTS MEDICINE OF WARRENTON LLC (NPI 1366283467), doing business as Steadfast Spine And Sports Medicine, is a healthcare organization registered as a clinic/center in Warrenton, Missouri and active in the NPI registry since June 2024. The organization lists Justin Cosgrove, Owner, as its authorized official.

NPPES Registry Identity

NPI1366283467
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSTEADFAST SPINE AND SPORTS MEDICINE OF WARRENTON LLC
Location Address1428 N STATE HIGHWAY 47 STE BWarrenton, MO 63383-1375
Mailing Address1428 N State Highway 47 Ste BWarrenton, MO 63383-1375 · (636) 456-2966
Organization SubpartNo
Authorized OfficialJustin CosgroveOwner · (636) 283-0328
Enumeration DateJune 3, 2024
NPPES CertifiedJune 3, 2024
✔ NPI 1366283467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1428 N STATE HIGHWAY 47 STE B, Warrenton, MO 63383

Other Names 1

Doing Business AsSteadfast Spine And Sports Medicine

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Steadfast Spine And Sports Medicine Of Warrenton Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Steadfast Spine And Sports Medicine Of Warrenton LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1245010743
1190 JEFFERSON ST STE 203
Washington, MO 63090
(636) 359-4663
✔ PECOS✔ Accepts Medicare20 mi
Chiropractic
NPI 1306607320
945 BROADWAY ST NE STE 275
Minneapolis, MN 55413
(612) 345-8004
✔ Accepts Medicare439 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Steadfast Spine And Sports Medicine Of Warrenton LLC's NPI number?

The NPI number for Steadfast Spine And Sports Medicine Of Warrenton LLC is 1366283467. It was assigned to this organization in the NPPES registry on June 3, 2024. The provider is doing business as Steadfast Spine and Sports Medicine.

Where is Steadfast Spine And Sports Medicine Of Warrenton LLC located?

Steadfast Spine And Sports Medicine Of Warrenton LLC is located at 1428 N State Highway 47 Ste B, Warrenton, MO 63383. The listed phone number is (636) 456-2966.

What is Steadfast Spine And Sports Medicine Of Warrenton LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Steadfast Spine And Sports Medicine Of Warrenton LLC enrolled in Medicare?

Yes. Steadfast Spine And Sports Medicine Of Warrenton LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Steadfast Spine And Sports Medicine Of Warrenton LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Steadfast Spine And Sports Medicine Of Warrenton LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Steadfast Spine And Sports Medicine Of Warrenton LLC was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.