CASSIE ANNE LIS PT DPT NPI 1528679743

NPI Information

  • NPI: 1528679743
  • Provider Name: CASSIE ANNE LIS, PT, DPT
  • Classification: Physical Therapist - 2251P0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 6855 W FAIRVIEW AVE
    BOISE, ID
    ZIP 83704
  • Phone: (208) 323-8888

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NPI Details

Cassie Anne Lis, PT, DPT is a pediatrics physical therapist in Boise, ID. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. Cassie Anne Lis, PT, DPT NPI is 1528679743. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6855 W FAIRVIEW AVE
BOISE, ID
ZIP 83704-046
Phone: (208) 323-8888

The enumeration date for this NPI number is 8/11/2020 and was last updated on 1/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251P0200XPhysical TherapistPediatricsPT-7021IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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