Individual provider Active NPI

Marcos Cisca, PT, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1235867805
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.027662 Issued in IL
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
CONNECT URL http://www.risephysicaltherapy.com/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220825003564 CA Practitioner - Physical Therapist in Private Practice 0244614139 Reassigns benefits to 2 organizations

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 100Reported as group
Quality
90
Improvement activities
40
Cost
73.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
302545CAMDPhysical Therapist
070.027662ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select CS Physical Therapy, P.C. Physical Therapist Current Accepting new patients
Select CS Physical Therapy, P.C. CurrentSince May 29, 2024 Accepting new patients
Select CS Physical Therapy, P.C. CurrentSince May 29, 2024 Accepting new patients
Select San Diego Physical Therapy, PC. Current Accepting new patients
Select San Diego Physical Therapy, PC. CurrentSince Jun 2, 2025 Accepting new patients
Select San Diego Physical Therapy, PC. Physical Therapist CurrentSince Jun 2, 2025 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.

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.

Verify at the official NPI Registry.