Individual provider Active NPI

Talya Danielle Cisneros, PT, DPT

  • Orthopedic Physical Therapist
  • Mission Viejo, CA
National Provider Identifier
1760104715
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
26302 La Paz Rd Ste 105
Mission Viejo, CA 92691-5327
Phone
(949) 206-1700
NPI assigned
Sep 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X
Orthopedic Physical Therapist 2251X0800X Primary

Addresses

Primary practice location

26302 La Paz Rd Ste 105
Mission Viejo, CA 92691-5327

Mailing address

21 Palazzo
Newport Beach, CA 92660-9106
Phone (949) 230-4993

Other practice location 1

1000 Calle Amanecer
San Clemente, CA 92673-6214
Phone (949) 498-5100

Other names 1

  • Talya Glass Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231108002141 CA Practitioner - Physical Therapist in Private Practice 2062869381 Reassigns benefits to 1 organization

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)

26302 La Paz Rd
Suite 105
Mission Viejo, CA 92691-5327
Phone (949) 206-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
California Rehabilitation & Sports Therapy a California Physical Ther CurrentSince Nov 6, 2023 Accepting new patients
California Rehab & Sports Therapy CurrentSince Nov 6, 2023 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Pediatrics Current Accepting new patients

Locations

505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010

471 W Lambert Rd
Ste 106
Brea, CA 92821
Phone (714) 255-8877

2888 Long Beach Blvd
Ste 405
Long Beach, CA 90806
Phone (562) 595-4489

24491 Alicia Pkwy
Mission Viejo, CA 92691
Phone (949) 876-5299

26302 La Paz Rd
Ste 105
Mission Viejo, CA 92691
Phone (949) 206-1700

22342 El Paseo
Ste G
Rancho Santa Margarita, CA 92688
Phone (949) 755-0796

415 E Avenida Pico
Ste M
San Clemente, CA 92672
Phone (949) 245-6581

31105 Rancho Viejo Rd
Ste C9
San Juan Capo, CA 92675
Phone (949) 240-6196

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

Organizations & group practices 3

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": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1760104715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 PALAZZO",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926609106",
            "telephone_number": "949-230-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26302 LA PAZ RD STE 105",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915327",
            "telephone_number": "949-206-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Calle Amanecer",
            "address_purpose": "LOCATION",
            "city": "San Clemente",
            "state": "CA",
            "postal_code": "926736214",
            "country_code": "US",
            "telephone_number": "949-498-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CISNEROS",
        "first_name": "TALYA",
        "middle_name": "DANIELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TALYA",
            "last_name": "GLASS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.