Active NPI
Cindy San Esteban Cecilio, RPT
- Physical Therapist
- Champaign, IL
National Provider Identifier
1730417825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.017598
- Practice address
- 410 Ginger Bend Dr
Apartment 101
Champaign, IL 61822-3567 - Phone
- (314) 225-4831
- NPI assigned
- Dec 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.017598 | IL | Primary |
| Physical Therapist | 225100000X | PT. 012715 | OH | |
| Physical Therapist | 225100000X | 11-04044 | KS |
Addresses
Primary practice location
410 Ginger Bend Dr
Apartment 101
Champaign, IL 61822-3567
Mailing address
410 Ginger Bend Dr
Apartment 101
Champaign, IL 61822-3567
Phone (314) 225-4831
Other names 1
- Ms. Cindy Talisay San Esteban
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.017598 | IL | MD | Physical Therapist |
| 11-04044 | KS | MD | Physical Therapist |
| PT. 012715 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389225600000",
"number": "1730417825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 GINGER BEND DR",
"address_2": "APARTMENT 101",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618223567",
"telephone_number": "314-225-4831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 GINGER BEND DR",
"address_2": "APARTMENT 101",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618223567",
"telephone_number": "314-225-4831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CECILIO",
"first_name": "CINDY",
"middle_name": "SAN ESTEBAN",
"name_prefix": "Mrs.",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-01",
"last_updated": "2014-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.017598",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT. 012715",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-04044",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CINDY",
"last_name": "SAN ESTEBAN",
"middle_name": "TALISAY",
"prefix": "MS.",
"credential": "RPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Champaign, IL
- Dara Naomi Catron, OTR/L
- Kevin Nathaniel Causley, M.S.W.
- Amanda Cavazos, PMHNP-BC
- Laura Cayce, D.C.
- CCM Champaign County Mobility LL
- Siegfred T. Celis
- Center for Health Renewal and Longevity LLC
- Central Illinois Diagnostic Imaging Center, LLC
- Central Illinois Oral and Maxillofacial Surgery, PC
- Central Illinois Oral and Maxiofacial Surgery, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.