Individual provider Active NPI

Shilouh Chandler, LMT

  • Massage Therapist
  • Saint Louis, MO
National Provider Identifier
1235000555
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
2024050343 Issued in MO
Practice address
11777 Gravois Rd Ste B
Saint Louis, MO 63127-1822
Phone
(314) 252-0153
NPI assigned
Sep 17, 2025
Last updated
Sep 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 227.023873 IL
Massage Therapist 225700000X 2024050343 MO Primary

Addresses

Primary practice location

11777 Gravois Rd Ste B
Saint Louis, MO 63127-1822

Mailing address

10303 Wine Hill Rd
Chester, IL 62233-3307

Other practice location 1

10303 Wine Hill Rd
Chester, IL 62233-3307
Phone (618) 615-1519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
227.023873ILMDMassage Therapist
2024050343MOMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Abeille Speech and Feeding Therapy CurrentSince Sep 21, 2025 Accepting new patients

Locations

11777 Gravois Rd
Ste B
Saint Louis, MO 63127
Phone (314) 252-0153

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1235000555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10303 WINE HILL RD",
            "city": "CHESTER",
            "state": "IL",
            "postal_code": "622333307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11777 GRAVOIS RD STE B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271822",
            "telephone_number": "314-252-0153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10303 Wine Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "IL",
            "postal_code": "622333307",
            "country_code": "US",
            "telephone_number": "618-615-1519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "SHILOUH",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.023873",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2024050343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.