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

Q: 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.

Q: What is Cassie Lis's specialty?

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

Q: 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 18 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.

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: August 16, 2026.

On this page

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

Open in Google Maps ↗

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.Insurance ›

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.

What insurance does Cassie Lis accept?

Health plans from Blue Cross and Blue Shield of NC 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 18 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.