Mrs Brooke Marie Kalisiak, PT, DPT | |
2961 Dougherty Ferry Rd, Suite 105, Saint Louis, MO 63122-3374 | |
(636) 225-3649 | |
(888) 494-7074 |
Full Name | Mrs Brooke Marie Kalisiak |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 22 Years |
Location | 2961 Dougherty Ferry Rd, Saint Louis, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164532198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 70013529 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Physical Therapy, Llc | 6305903246 | 5 |
Provider Name | Legacy Physical Therapy, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245484849 PECOS PAC ID: 6305903246 Enrollment ID: O20090320000464 |
Mailing Address | Practice Location Address |
---|---|
Mrs Brooke Marie Kalisiak, PT, DPT 2961 Dougherty Ferry Rd, Suite 105, Saint Louis, MO 63122-3374 Ph: (636) 225-3649 | Mrs Brooke Marie Kalisiak, PT, DPT 2961 Dougherty Ferry Rd, Suite 105, Saint Louis, MO 63122-3374 Ph: (636) 225-3649 |
Brittany Marie Burchett, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3625 Magnolia Ave, Saint Louis, MO 63110 Phone: 314-771-2990 | |
Ms. Martha J Rubinelli, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7733 Forsyth Blvd, Suite 1700, Saint Louis, MO 63105 Phone: 314-863-7422 | |
Hilde Anne Maagad, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5460 Delmar Blvd, Saint Louis, MO 63112 Phone: 314-361-2908 | |
Dr. Lexi Kathleen Wisch, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 401 Holly Hills Ave, Saint Louis, MO 63111 Phone: 314-353-5190 Fax: 314-353-7631 | |
Dr. Danielle Buchanan Ivie, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4444 Forest Park Ave, Ste 1210, Saint Louis, MO 63108 Phone: 314-286-1940 Fax: 314-286-1473 | |
Rehab Dynamics, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10435 Clayton Rd, Suite 10, Saint Louis, MO 63131 Phone: 314-442-6249 Fax: 314-787-5949 | |
Juliet Hereford, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7508 Big Bend Blvd, Saint Louis, MO 63119 Phone: 314-647-4880 Fax: 314-647-1964 |