STEPHANIE W CISNEROS (PT) – Physical Therapist, NPI 1467534412
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR
Provider Addresses for STEPHANIE W CISNEROS (PT)
14603 SW TEAL BLVD
BEAVERTON, OR 970076194
Phone: (971) 709-7193
Fax: (503) 567-2732
Type: Location
790 REMINGTON BLVD
BOLINGBROOK, IL 604404909
Phone:
Fax: (503) 567-2732
Type: Mailing
24076, Southeast Stark Street, Twelvemile Corner, Gresham, Metro, Multnomah County, Oregon, 97030, United States
STE 200
GRESHAM, OR 970303376
Phone: (503) 674-7860
Fax: (503) 674-7642
Type: Mailing
350, Northeast 87th Avenue, McLoughlin Heights, Vancouver, Clark County, Washington, 98664, United States
VANCOUVER, WA 98664
Phone: (360) 882-2778
Fax: (360) 604-1757
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-07-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190716002343 | I | Physical Therapist In Private Practice | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | 97 | 12 | $0 |
Insurance plans in this area (ZIP 97007)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | AZ | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 891 | 124 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | WA | |
| Physical Therapist In Private Practice | OR | |
| Physical Therapist In Private Practice | IL | |
| - | AL | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | WA | |
| - | IL | |
| Physical Therapist In Private Practice | AP | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | OR |
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