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

Mrs. Brooke Marie Kalisiak, PT, DPT

Individual provider Physical Therapist · NPI 1164532198

Mrs. Brooke Marie Kalisiak, PT, DPT is a Physical Therapist in Private Practice in Saint Louis, Missouri. Graduated from Washington University School of Medicine in 2002, 24 years ago. Practices with Legacy Physical Therapy, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
24
Trained at
Washington University School of Medicine
Licensed in
MO
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2961 Dougherty Ferry Rd Ste 105
Saint Louis, MO 63122-3374
Phone: (636) 225-3649
Fax: (888) 494-7074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 70013529 (MO)

Record details

NPI number1164532198
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESMay 6, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Legacy Physical Therapy, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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