Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kim M Grisar, PTA

Individual provider Physical Therapy Assistant · NPI 1912947391

Kim M Grisar, PTA is a Physical Therapy Assistant in Port Washington, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1317 W Grand Ave
Port Washington, WI 53074-2075
Phone: (262) 284-2261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 810-019 (WI)

Record details

NPI number1912947391
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJune 7, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1410 Audubon Ave, Grafton, WI 53024-2218

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