Active NPI
Toni Therese Kalish, PT
- Physical Therapist
- Dardenne Prairie, MO
National Provider Identifier
1811276066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 109323
- Practice address
- 643 Knollshire Way
Dardenne Prairie, MO 63368-8379 - Phone
- (636) 578-5514
- Fax
- (636) 265-2158
- NPI assigned
- Aug 5, 2011
- 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 | 109323 | MO | Primary |
Addresses
Primary practice location
643 Knollshire Way
Dardenne Prairie, MO 63368-8379
Mailing address
4 Wingspan CT
Lake Saint Louis, MO 63367-1834
Phone (636) 578-5514
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109323 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jumpstart PT 4 Kids LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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
- Dardenne Prairie, MO
- NPI 1982027520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390953600000",
"number": "1811276066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 WINGSPAN CT",
"city": "LAKE SAINT LOUIS",
"state": "MO",
"postal_code": "633671834",
"telephone_number": "636-578-5514",
"fax_number": "636-265-2158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "643 KNOLLSHIRE WAY",
"city": "DARDENNE PRAIRIE",
"state": "MO",
"postal_code": "633688379",
"telephone_number": "636-578-5514",
"fax_number": "636-265-2158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALISH",
"first_name": "TONI",
"middle_name": "THERESE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-05",
"last_updated": "2014-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "109323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dardenne Prairie, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.