Active NPI
Tracy Janette Cisneros, PT, DPT, CLT
- Physical Therapist
- Waco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1294772
- Practice address
- 50 Hillcrest Medical Blvd Ste 102
Waco, TX 76712-8953 - Phone
- (254) 202-7900
- Fax
- (254) 202-7949
- NPI assigned
- Aug 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1294772 | TX | Primary |
Addresses
Primary practice location
50 Hillcrest Medical Blvd Ste 102
Waco, TX 76712-8953
Mailing address
PO Box 848491
Dallas, TX 75284-8491
Phone (254) 202-9330
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tracy.cisneros@bswhealth.org | Direct | |
| Direct Messaging Address | tcisneros295887@direct.sw.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
50 Hillcrest Medical Blvd
Waco, TX 76712-8953
50 Hillcrest Medical Blvd
Suite 206
Waco, TX 76712-8954
Phone (254) 202-7950
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott & White Clinic | Current | Accepting new patients | |
| Scott & White Clinic | Current | Accepting new patients | |
| Hillcrest Physician Services | Current | Accepting new patients | |
| Scott and White Clinic | Current | Accepting new patients | |
| Scott & White Hospital - Taylor | Past | Accepting new patients |
Locations
101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100
5701 Airport Rd
#200
Temple, TX 76502
Phone (254) 215-9790
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
50 Hillcrest Medical Blvd
Ste 102
Waco, TX 76712
Phone (254) 202-7215
50 Hillcrest Medical Blvd
Waco, TX 76712
Phone (254) 202-7300
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Waco, TX
- NPI 1649294323
-
- Internal Medicine Physician
- Temple, TX
- NPI 1093779704
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1649820796
-
- Radiation Oncology Physician
- Waxahachie, TX
- NPI 1821475153
-
- Emergency Medicine Physician
- Taylor, TX
- NPI 1659366557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1053924340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 848491",
"city": "DALLAS",
"state": "TX",
"postal_code": "752848491",
"telephone_number": "254-202-9330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 HILLCREST MEDICAL BLVD STE 102",
"city": "WACO",
"state": "TX",
"postal_code": "767128953",
"telephone_number": "254-202-7900",
"fax_number": "254-202-7949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CISNEROS",
"first_name": "TRACY",
"middle_name": "JANETTE",
"name_prefix": "Dr.",
"credential": "PT, DPT, CLT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-26",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1294772",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tracy.cisneros@bswhealth.org",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "50 Hillcrest Medical Blvd Ste 102",
"city": "Waco",
"state": "TX",
"country_code": "US",
"postal_code": "767128953",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tcisneros295887@direct.sw.org",
"affiliation": "N",
"address_1": "50 Hillcrest Medical Blvd Ste 102",
"city": "Waco",
"state": "TX",
"country_code": "US",
"postal_code": "767128953",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.