Active NPI
Marcos Cisca, PT, DPT
- Physical Therapist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.027662
- Practice address
- 3542 E 118TH St
Chicago, IL 60617-7314 - Phone
- (773) 435-9020
- Fax
- (773) 646-0445
- NPI assigned
- Aug 11, 2022
- Last updated
- Aug 11, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 302545 | CA | |
| Physical Therapist | 225100000X | 070.027662 | IL | Primary |
Addresses
Primary practice location
3542 E 118TH St
Chicago, IL 60617-7314
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206
Other practice location 1
760 13th St
Imperial Beach, CA 91932-2308
Phone (858) 755-5200 ext. 19
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | http://www.risephysicaltherapy.com/ | Direct |
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3737 Moraga Ave
Suite B117
San Diego, CA 92117-5358
Phone (858) 270-0981
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.49 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 73.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302545 | CA | MD | Physical Therapist |
| 070.027662 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select CS Physical Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
| Select CS Physical Therapy, P.C. | Current | Accepting new patients | |
| Select CS Physical Therapy, P.C. | Current | Accepting new patients | |
| Select San Diego Physical Therapy, PC. | Current | Accepting new patients | |
| Select San Diego Physical Therapy, PC. | Current | Accepting new patients | |
| Select San Diego Physical Therapy, PC. | Physical Therapist | Current | Accepting new patients |
| Select CS Physical Therapy, P.C. | Physical Therapist | Past | Accepting new patients |
Locations
15525 Pomerado Rd
Ste C8
Poway, CA 92064
Phone (858) 674-4263
935 E Ridgecrest Blvd
Ridgecrest, CA 93555
Phone (760) 371-1411
11515 El Camino Real
Ste 130
San Diego, CA 92130
Phone (858) 793-1460
16935 W Bernardo Dr
Ste 180
San Diego, CA 92127
Phone (858) 217-5837
3737 Moraga Ave
Ste B117
San Diego, CA 92117
Phone (858) 270-0981
4910 Directors Pl
Ste 370
San Diego, CA 92121
Phone (858) 554-0522
1 Civic Center Dr
Ste 360
San Marcos, CA 92069
Phone (760) 653-2429
2001 Wilshire Blvd
Ste 310
Santa Monica, CA 90403
Phone (310) 829-3320
400 S Melrose Dr
Ste 215
Vista, CA 92081
Phone (760) 509-9901
Organizations & group practices 7
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.
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- San Diego, CA
- NPI 1700516408
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Marina del Rey, CA
- NPI 1043894090
Physical Therapist
-
- Physical Therapy Clinic/Center
- Beverly Hills, CA
- NPI 1275220246
-
- Physical Therapy Clinic/Center
- Long Beach, CA
- NPI 1598349607
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Vista, CA
- NPI 1972233674
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- San Diego, CA
- NPI 1992435606
Physical Therapist
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Ridgecrest, CA
- NPI 1386228302
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691712000000",
"number": "1235867805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "866-370-8206",
"fax_number": "517-435-3670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3542 E 118TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606177314",
"telephone_number": "773-435-9020",
"fax_number": "773-646-0445"
}
],
"practiceLocations": [
{
"address_1": "760 13th St",
"address_purpose": "LOCATION",
"city": "Imperial Beach",
"state": "CA",
"postal_code": "919322308",
"country_code": "US",
"telephone_number": "858-755-5200 x19",
"fax_number": "619-941-2681",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CISCA",
"first_name": "MARCOS",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-11",
"last_updated": "2023-08-11",
"certification_date": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "302545",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.027662",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "http://www.risephysicaltherapy.com/",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "760 13th St",
"city": "Imperial Beach",
"state": "CA",
"country_code": "US",
"postal_code": "919322308",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.