Chyanne Kalishek

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004266 Issued in IA

Practice address

2300 Swan Lake Blvd Ste 103
Independence, IA 50644-9708

Phone

(319) 334-5155

NPI assigned

Mar 3, 2021

Last updated

Mar 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Millennium Rehab & Consulting, Inc.

  dba Millennium Therapy

  • Physical Therapist
  • Des Moines, IA
  • NPI 1255385852
  NPD (past)
• Millennium Rehab & Consulting, Inc.

  dba Millennium Therapy

  • Physical Therapist
  • Independence, IA
  • NPI 1336193986
  NPD (past)

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1457946303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 MERLE HAY RD STE 207",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503221983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 SWAN LAKE BLVD STE 103",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506449708",
            "telephone_number": "319-334-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALISHEK",
        "first_name": "CHYANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marla Kay Howlett, PHARMACIST
• Independence C.S.D.
• Independence Ia Skilled Nursing Facility, LLC
• Duane Donald Jasper, MD FP
• Theresa Johnson, MS OTR/L
• Carrie Marie McDaniel Kearns, O.D.
• Bradley George Kegler, D.D.S.
• Daniel George Kegler, DDS
• Kegler,Kegler & Arend,P.C.
• Maxine K Kehret, R.D.,L.D.

• Physical Therapist in Independence, IA
• Providers in Independence, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.