Individual provider Active NPI

Samantha Chilson, DPT, PT

  • Physical Therapist
  • Saint Charles, MO
National Provider Identifier
1972270767
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2021033619 Issued in MO
Practice address
1840 Zumbehl Rd
Saint Charles, MO 63303-2761
Phone
(636) 947-7678
Fax
(636) 947-4350
NPI assigned
Aug 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2021033619 MO Primary

Addresses

Primary practice location

1840 Zumbehl Rd
Saint Charles, MO 63303-2761

Mailing address

1840 Zumbehl Rd
Saint Charles, MO 63303-2761
Phone (636) 947-7678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230816001537 MO Practitioner - Physical Therapist in Private Practice 1557723087 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021033619MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Wellness Kansas City, LLC Physical Therapist CurrentSince Jul 22, 2023 Accepting new patients
Samantha Chilson, LLC Current Accepting new patients
Empowerme Rehabilitation Missouri LLC Physical Therapist CurrentSince Jul 22, 2023 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Jul 22, 2023 Accepting new patients
Empowerme Rehabilitation Missouri LLC Physical Therapist CurrentSince Jul 22, 2023 Accepting new patients

Locations

3002 John Duffy Dr
Joplin, MO 64804
Phone (417) 553-9767

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1972270767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 ZUMBEHL RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633032761",
            "telephone_number": "636-947-7678",
            "fax_number": "636-947-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 ZUMBEHL RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633032761",
            "telephone_number": "636-947-7678",
            "fax_number": "636-947-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILSON",
        "first_name": "SAMANTHA",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2021033619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.