Rachel Cisco, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

09784 Issued in OR

Practice address

4550 Carman Dr
Lake Oswego, OR 97035-2520

Phone

(503) 675-6055

NPI assigned

Aug 15, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1023664943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3736 SW 10TH AVE APT 2",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972392992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 CARMAN DR",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970352520",
            "telephone_number": "503-675-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISCO",
        "first_name": "RACHEL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "09784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alina Chobu, LMT
• Allison Blomquist Christianson, LCSW
• Christopher D Kooning, DMD PC
• Natalie Chvirov
• Jennifer Renee Cicilian, ND, LAC
• Citrine Holistic Health, LLC
• City of Lake Oswego
• Clackamas Counseling Center, LLC
• Clackamas County School District 7
• Joseph Allen Clark, LMT

• Physical Therapy Assistant in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Physical Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.