Savannah Kisling- Scrima, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7205 Issued in ID

Practice address

90 E Ustick Rd Ste 150
Meridian, ID 83646-6134

Phone

(208) 895-0715

Fax

(208) 895-0746

NPI assigned

May 24, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Savannah Kisling Former name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PeacehealthGroup PAC ID 8820178288, 245 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Peacehealth

  • Surgery Physician
  • Vancouver, WA
  • NPI 1609061969
  Medicare reassignment Care Compare group NPD
• Intermountain Physical Therapy LP

  • Physical Therapy Clinic/Center
  • Nampa, ID
  • NPI 1073627451
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1093380933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 E USTICK RD STE 150",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466134",
            "telephone_number": "208-895-0715",
            "fax_number": "208-895-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 E USTICK RD STE 150",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466134",
            "telephone_number": "208-895-0715",
            "fax_number": "208-895-0746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 SE 192nd Ave",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986831442",
            "country_code": "US",
            "telephone_number": "360-729-8010",
            "fax_number": "360-729-8011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KISLING- SCRIMA",
        "first_name": "SAVANNAH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61511344",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "7205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAVANNAH",
            "last_name": "KISLING",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kurt Earl Kinghorn, DPM
• Hannalee Kingstrom, MS, CCC-SLP
• Ryan Peter Kinnaman
• Claire Kiota
• Bryce Jacob Kirkman, D.O.
• Brian Craig Kitamura, M.D.
• Brian Dennis Kittelson, DNP, ARNP, FNP-C
• Colleen Gray Klabo, PSYD
• Vanessa M Klaus, FNP
• Kimberly A Kleaveland, FNP

• Physical Therapist in Meridian, ID
• Providers in Meridian, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.