JILL RENEE DISTLER, MT — NPI 1760955843 (Licensed & Credentialed Massage Therapist in CHILLICOTHE, MO)

CMS-1500 Box 24J / 33a • NPI

1760955843

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

225700000X

Licensed & Credentialed Massage Therapist

Box 32 Service Location & ZIP+4

607 LOCUST ST, CHILLICOTHE, MO, 64601-2250

✓ 9-Digit EDI 837 ZIP+4 (64601-2250)

Practice Phone & Referral Fax

(660) 646-4131

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1760955843 (JILL RENEE DISTLER, MT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1760955843` (NPI-1 Individual Practitioner)
Provider / Legal Name	JILL RENEE DISTLER, MT
Plain-English Specialty	Licensed & Credentialed Massage Therapist NUCC Code: `225700000X` (Massage Therapist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	607 LOCUST ST, CHILLICOTHE, MO, 64601-2250
Practice Telephone / Fax	Tel: (660) 646-4131
Administrative Mailing Address	607 LOCUST ST, CHILLICOTHE, MO, 64601-2250
Enumeration & Last Sync	Enumerated: 2019-01-10 \| CMS Record Updated: 2019-01-10

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

607 LOCUST ST, CHILLICOTHE, MO, 64601-2250

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Plain-English Taxonomy & CMS Crosswalk (225700000X)

What Does Taxonomy Code 225700000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225700000X translates to:
"Licensed & Credentialed Massage Therapist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Massage Therapist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JILL RENEE DISTLER, MT)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`225700000X` — Massage Therapist Plain English: Licensed & Credentialed Massage Therapist	State: MO \| License: `2010002769` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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JILL RENEE DISTLER, MT (NPI #1760955843)