Individual provider Active NPI

Sue Ann Kalish, P.T.

  • Physical Therapist
  • Dahlonega, GA
National Provider Identifier
1346219136
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
002494 Issued in GA
Practice address
81 Crown Mountain PL Unit E100
Dahlonega, GA 30533-1623
Phone
(706) 265-5964
Fax
(706) 482-0073
NPI assigned
Mar 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 002494 GA Primary

Addresses

Primary practice location

81 Crown Mountain PL Unit E100
Dahlonega, GA 30533-1623

Mailing address

81 Crown Mountain PL Unit D100
Dahlonega, GA 30533-1623
Phone (706) 265-5964

Other identifiers 1

IdentifierTypeStateIssuer
000919498AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Turningpoint Breast Cancer Rehabilitation, Inc. PastSince Apr 30, 2003 Accepting new patients
Lanier Therapy in Motion Physical Therapist PastSince Sep 15, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1346219136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 CROWN MOUNTAIN PL UNIT D100",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331623",
            "telephone_number": "706-265-5964",
            "fax_number": "706-482-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 CROWN MOUNTAIN PL UNIT E100",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331623",
            "telephone_number": "706-265-5964",
            "fax_number": "706-482-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALISH",
        "first_name": "SUE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "002494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000919498A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dahlonega, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.