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

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