Active NPI
Anabellie R Cisneros, DPT
- Physical Therapist
- Ventura, CA
National Provider Identifier
1073039145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT293408
- Practice address
- 1879 Portola Rd
Ventura, CA 93003-6436 - Phone
- (805) 644-1273
- NPI assigned
- Aug 20, 2017
- 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 | PT293408 | CA | Primary |
Addresses
Primary practice location
1879 Portola Rd
Ventura, CA 93003-6436
Mailing address
233 W Fir Ave
Oxnard, CA 93033-3527
Phone (805) 775-6610
Other practice location 1
705 N Oxnard Blvd
Oxnard, CA 93030-4314
Phone (805) 983-0811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
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)
1879 Portola Rd
Suite A2
Ventura, CA 93003-8095
Phone (805) 644-1273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT293408 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Physical Therapy Services, Inc | Physical Therapist | Current | Accepting new patients |
| Sunrise Physical Medicine and Wellness Center, Inc. | Past | Accepting new patients |
Locations
1879 Portola Rd
Ste A2
Ventura, CA 93003
Phone (805) 644-1273
Organizations & group practices 2
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.
-
- Orthopedic Physical Therapist
- Oxnard, CA
- NPI 1275553034
-
- Chiropractor
- Sunrise, FL
- NPI 1043323298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1073039145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 W FIR AVE",
"city": "OXNARD",
"state": "CA",
"postal_code": "930333527",
"telephone_number": "805-775-6610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1879 PORTOLA RD",
"city": "VENTURA",
"state": "CA",
"postal_code": "930036436",
"telephone_number": "805-644-1273"
}
],
"practiceLocations": [
{
"address_1": "705 N Oxnard Blvd",
"address_purpose": "LOCATION",
"city": "Oxnard",
"state": "CA",
"postal_code": "930304314",
"country_code": "US",
"telephone_number": "805-983-0811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CISNEROS",
"first_name": "ANABELLIE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-20",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT293408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.