Active NPI
Sue Ann Kalish, P.T.
- Physical Therapist
- Dahlonega, GA
National Provider Identifier
1346219136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 002494
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000919498A | Medicaid | GA |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Turningpoint Breast Cancer Rehabilitation, Inc. | Past | Accepting new patients | |
| Lanier Therapy in Motion | Physical Therapist | Past | 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.
-
- Physical Therapist
- Gainesville, GA
- NPI 1568400968
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1053309237
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.