Individual provider Active NPI

Anabellie R Cisneros, DPT

  • Physical Therapist
  • Ventura, CA
National Provider Identifier
1073039145
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT293408 Issued in CA
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20170921002028 CA Practitioner - Physical Therapist in Private Practice 5395019855 Reassigns benefits to 1 organization

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
Sunrise Physical Therapy Services IncGroup PAC ID 7810881083, 6 clinicians

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

LicenseStateTypeSpecialty
PT293408CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Physical Therapy Services, Inc Physical Therapist CurrentSince Sep 1, 2017 Accepting new patients
Sunrise Physical Medicine and Wellness Center, Inc. PastSince Sep 1, 2017 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.

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.

Verify at the official NPI Registry.