CASSIE ANNE LIS PT, DPT
NPI 1528679743
Physical Therapist - Pediatrics in Boise, ID
NPI Status: Active since August 11, 2020
Contact Information
6855 W FAIRVIEW AVE
BOISE, ID
ZIP 83704
Phone: (208) 323-8888
- Individual
- Female
- Physical Therapist
- Pediatrics
- Accepts Insurance
About CASSIE LIS
This page provides the complete NPI Profile along with additional information for Cassie Lis, a provider established in Boise, Idaho with a medical specialization in Physical Therapist, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1528679743 assigned on August 2020. The practitioner's primary taxonomy code is 2251P0200X with license number PT-7021 (ID). The provider is registered as an individual and her NPI record was last updated January 2025.
- NPI
- 1528679743
- Provider Name
- CASSIE ANNE LIS PT, DPT
- Other Name
- CASSIE ANNE SHARON
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 6855 W FAIRVIEW AVE BOISE, ID 83704
- Location Phone
- (208) 323-8888
- Mailing Address
- 2411 E RIVERSIDE DR APT Q304 EAGLE, ID 83616
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-11-2020
- Last Update Date
- 01-23-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist Pediatrics
- Taxonomy Code
- 2251P0200X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- PT-7021
- License State
- ID
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 2 | 8 | 6 | 7 | 9 | 7 | 4 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 12 | 7 | 18 | 7 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 1 + 2 + 7 + 1 + 8 + 7 + 8 + 24 = 77 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 77 = 3 | 3 | ||||||||
The NPI number 1528679743 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
AMY HARDY M.S. CCC-SLP
Speech-Language Pathologist
6855 W FAIRVIEW AVE
BOISE, ID
ZIP 83704
KIMBERLY WALLIS-RUCKLOS MA CCC SLP
Speech-Language Pathologist
6855 W FAIRVIEW AVE
STE. 120
BOISE, ID
ZIP 83704
KRISTA MCTEER MS CCC-SLP
Speech-Language Pathologist
6855 W FAIRVIEW AVE
STE. 120
BOISE, ID
ZIP 83704
HEIDE HARM SLP
Speech-Language Pathologist
6855 W FAIRVIEW AVE
BOISE, ID
ZIP 83704
DENISE CHILDS
Speech-Language Pathologist
6855 W FAIRVIEW AVE
BOISE, ID
ZIP 83704
LESLIE SOARES SLP
Speech-Language Pathologist
6855 W FAIRVIEW AVE
BOISE, ID
ZIP 83704
STEPHANIE FREY SLP
Speech-Language Pathologist
6855 W FAIRVIEW AVE
BOISE, ID
ZIP 83704
KEVIN WOODALL SLP
Speech-Language Pathologist
6855 W FAIRVIEW AVE
BOISE, ID
ZIP 83704
JESSICA HARSTON SLP
Speech-Language Pathologist
6855 W FAIRVIEW AVE
BOISE, ID
ZIP 83704
KELLY KING SLP
Speech-Language Pathologist
6855 W FAIRVIEW AVE
BOISE, ID
ZIP 83704
NICOLE NICKELL OT
Specialist
6855 W FAIRVIEW AVE
BOISE, ID
ZIP 83704
DEANNA WILLIS MS CF SLP
Speech-Language Pathologist
6855 W FAIRVIEW AVE
STER 120
BOISE, ID
ZIP 83704
MRS. KENDRA LENZI OTR/L
Occupational Therapist
6855 W FAIRVIEW AVE
STE 120
BOISE, ID
ZIP 83704
REBECCA SKYE SVENSON SCHLABS D.P.T.
Physical Therapist
6855 W FAIRVIEW AVE
BOISE, ID
ZIP 83704
CTP MENTAL HEALTH COUNSELING
Counselor
(Mental Health)
6855 W FAIRVIEW AVE
BOISE, ID
ZIP 83704
HILLARY ERIN RATLIFFE OTRL
Occupational Therapist
6855 W FAIRVIEW AVE
BOISE, ID
ZIP 83704
MRS. HEATHER GALM MOT, OTR/L
Specialist
6855 W FAIRVIEW AVE
BOISE, ID
ZIP 83704
KRISTINE LEFFERTS CCC-SLP
Speech-Language Pathologist
6855 W FAIRVIEW AVE
BOISE, ID
ZIP 83704
MISS AMANDA ELIZABETH STUBBS LMSW
Social Worker
6855 W FAIRVIEW AVE
BOISE, ID
ZIP 83704
SARA ANDREWS
Speech-Language Pathologist
6855 W FAIRVIEW AVE
BOISE, ID
ZIP 83704
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528679743, enumerated as an "individual" on August 11, 2020.
The provider is located at 6855 W FAIRVIEW AVE BOISE, ID 83704 and the phone number is (208) 323-8888.
Physical Therapist with taxonomy code 2251P0200X and a focus in Pediatrics.
The provider might be accepting Accepts: Aetna CVS Health and Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to verify.
