Samantha Chilson, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SAMANTHA CHILSON, LLC

Practice address

400 Lake Saint Louis Blvd
Lake Saint Louis, MO 63367-1377

Phone

(636) 358-9612

NPI assigned

May 28, 2025

Last updated

May 28, 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

Samantha ChilsonNPI 1972270767

Title

Owner

Phone

(636) 358-9612

Specialties & licenses 1

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.

• Samantha Chilson, DPT, PT

  • Physical Therapist
  • Saint Charles, MO
  • NPI 1972270767
  NPD Authorized official

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1194518365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 DIEKAMP LN",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633035137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LAKE SAINT LOUIS BLVD",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633671377",
            "telephone_number": "636-358-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA CHILSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "CHILSON",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-358-9612"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kris Ann Roberts, DO
• Mika M Ross, M.ED.
• Rueschhoff Physical Therapy Inc (Heritage Physical Therapy)
• Katherine Anne Rufle, M.S.W., L.C.S.W.
• Whitney Meredith Russell-Fry, DPT
• Christy Marie Schneller, M.A. CCC-SLP
• Kayli Schou, PA-C
• Shauna Schroeder, D.C.
• Schwartzmeyer Psychotherapy PLLC
• Ryan Schwartzmeyer, LCPC

• Physical Therapy Clinic/Center in Lake Saint Louis, MO
• Providers in Lake Saint Louis, MO by specialty
• Physical Therapy Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.