Juan Cisneros, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1121168 Issued in TX

Practice address

6702 W Poly Webb Rd
Arlington, TX 76016-3615

Phone

(817) 478-0095

Fax

(817) 478-7628

NPI assigned

Jun 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lake Arlington Center for Pain Management

  dba North Texas Pain Recovery Center

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Arlington, TX
  • NPI 1023234887
  NPD (past)
• Lake Arlington Holding Company

  dba North Texas Pain Recovery Center

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Arlington, TX
  • NPI 1558589903
  NPD (past)

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053516989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6702 W POLY WEBB RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760163615",
            "telephone_number": "817-478-0095",
            "fax_number": "817-478-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6702 W POLY WEBB RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760163615",
            "telephone_number": "817-478-0095",
            "fax_number": "817-478-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISNEROS",
        "first_name": "JUAN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1121168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Cinnamon
• Ralph Garrett Cipriano, M.D.
• Circle of Life Therapy, PLLC (Colt)
• Circle of Love Home Health Agency
• Rebecca Lily Cisler, DPT, PT
• Steven J. Ciszewski, PA-C
• Citimed East
• Citimed, P.a.
• Cizombs PLLC (Arlington Chiropractic Neurology Center)
• CK Behavioral Health Services, Inc.

• Physical Therapist in Arlington, TX
• Providers in Arlington, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.