NPI age
5 years
Enumerated 2020-08-11
● Active
Type 1 · Individual
Cassie Anne Lis, PT, DPT
Lis is 1 of 12 physical therapist providers in Boise and 1 of 44 in Idaho.
Primary specialty
Physical Therapist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-01-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 44 active physical therapist providers in Idaho.
NPI age
5 years
↓ 4 yr below median (9 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties
NPI lifetime · 2020 → 2026
2020-08Enumerated in NPPES
2020
2026
Where they practice
Practice location
6855 W Fairview Ave
Boise, ID 837048046
Mailing address
2411 E Riverside Dr Apt Q304
Eagle, ID 836167576
Specialties
-
Physical Therapist PrimaryA licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic...
Practice context
Part of a multi-provider practice. 40 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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