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CASSIE ANNE LIS PT, DPT
NPI 1528679743
Physical Therapist - Pediatrics in Boise, ID

Active since August 11, 2020
6855 W FAIRVIEW AVE, BOISE, ID 83704(208) 323-8888 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cassie Anne Lis Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASSIE ANNE LIS PT, DPT (NPI 1528679743) is an individual pediatrics provider in Boise, Idaho, licensed in Idaho (PT-7021) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1528679743
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameCASSIE ANNE LISCredential: PT, DPT
Location Address6855 W FAIRVIEW AVEBoise, ID 83704-8046
Mailing Address2411 E Riverside Dr Apt Q304Eagle, ID 83616-7576
Phone(208) 323-8888
Sole ProprietorNo
Enumeration DateAugust 11, 2020
Last NPPES UpdateJanuary 23, 2025
NPPES CertifiedAugust 11, 2020
✔ NPI 1528679743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in ID · PT-7021
Definition
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.
6855 W FAIRVIEW AVE, Boise, ID 83704
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Other Names 1

Former Name (1)Cassie Anne Sharon

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cassie Anne Lis Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Cassie Lis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Duke University Health System, Inc.
2,033 mi
Nurse Anesthetist, Certified Registered
ERWIN RD
Durham, NC 27710
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,503 clinicians in this Medicare group
NPI 1558392977 (919) 684-8111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN WOODALL SLP
Speech-Language Pathologist
6855 W FAIRVIEW AVE
BOISE, ID 83704
Ada County (208) 323-8888
MRS. TAYLOR NICOLE WIEST M.S., SLP-CCC
Speech-Language Pathologist
6855 W FAIRVIEW AVE
BOISE, ID 83704
Ada County (208) 323-8888
ISABELLE M CANO LMSW
Social Worker
6855 W FAIRVIEW AVE
BOISE, ID 83704
Ada County (208) 323-9600
MRS. HEATHER GALM MOT, OTR/L
Specialist
6855 W FAIRVIEW AVE
BOISE, ID 83704
Ada County (208) 323-8888
CTP MENTAL HEALTH COUNSELING
Counselor (Mental Health)
6855 W FAIRVIEW AVE
BOISE, ID 83704
Ada County (208) 323-8888
ANA CRISTINA VILLANUEVA LMSW
Social Worker
6855 W FAIRVIEW AVE
BOISE, ID 83704
Ada County (208) 323-9600
SYLVIA ROSE VEAL LPC
Counselor (Mental Health)
6855 W FAIRVIEW AVE, SUITE #120
BOISE, ID 83704
Ada County (208) 323-8888
REANNA ELIZABETH CULJAT LMSW
Social Worker
6855 W FAIRVIEW AVE
BOISE, ID 83704
Ada County (208) 323-9600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cassie Lis's NPI number?

The NPI number for Cassie Lis is 1528679743. It was assigned to this individual provider in the NPPES registry on August 11, 2020. The provider is also known as Cassie Anne Sharon.

Where is Cassie Lis located?

Cassie Lis practices at 6855 W Fairview Ave, Boise, ID 83704. The listed phone number is (208) 323-8888.

What is Cassie Lis's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Is Cassie Lis enrolled in Medicare?

Yes. Cassie Lis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cassie Lis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cassie Lis reassigns Medicare benefits to Duke University Health System, Inc. (Durham, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cassie Lis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cassie Lis accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Cassie Lis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cassie Lis was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.