Kristie Lynne Scalise, PTA

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

2951-19 Issued in WI

Practice address

700 Myrtle Way
Janesville, WI 53545-9111

Phone

(608) 530-5700

NPI assigned

Apr 30, 2024

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

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1598512469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 TUDOR DR",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535462012",
            "telephone_number": "815-988-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MYRTLE WAY",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535459111",
            "telephone_number": "608-530-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALISE",
        "first_name": "KRISTIE",
        "middle_name": "LYNNE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "WI",
            "license": "2951-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica L Sanderson
• Aayam Sapkota, MD
• Amen Sarfraz, DMD
• Elizabeth A Sarin, LCSW
• Karen Saunders, OT
• Ricky L Schade, LPC
• Amanda L Schaefer, APSW
• Corin N Schaefer
• Scott J Schaefer
• Dawn Schattschneider, LMT

• Geriatric Physical Therapist in Janesville, WI
• Providers in Janesville, WI by specialty
• Geriatric Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.