RAFAEL CISNEROS (NPI# 1790343739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790343739 |
| Entity Type | Individual |
| Full Name | RAFAEL CISNEROS |
| Practice Address |
377 Nw Jasper St Dallas OR 97338-1279 |
| Mailing Address |
11820 W 100th Ter Overland Park KS 66214-2441 |
| Practice Telephone | 9139531220 |
| Mailing Telephone | 9139531220 |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-06-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | CP000275A | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225200000X | Physical Therapy Assistant | 2018026092 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
377 NW JASPER ST |
| City | DALLAS |
| State | OR |
| Zip Code | 97338-1279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598749038 | Dallas Mennonite Retirement Community, Inc. | Skilled Nursing Facility | 377 Nw Jasper St, Dallas, OR 97338-1279 | 2005-11-29 |
| 1902140171 | Dallas Health Care Center LLC | Skilled Nursing Facility | 377 Nw Jasper St, Dallas, OR 97338-1279 | 2012-11-12 |
| 1578891438 | Teri Marie | Registered Nurse | 377 Nw Jasper St, Dallas, OR 97338-1279 | 2009-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164932042 | Stephanie Marie Renfro | Massage Therapist | 289 E Ellendale Ave #601, Dallas, OR 97338 | 2017-10-05 |
| 1588185953 | Herbert Starr Woodward IIi | Dentist | 201 Se Washington St, Dallas, OR 97338 | 2017-07-06 |
| 1851708077 | David Mooso | Pharmacist | 321 Nw Kings Valley Highway, Dallas, OR 97338 | 2014-07-21 |
| 1841615556 | Leslie Lytle | Counselor | 1020 Sw Maple St., Dallas, OR 97338 | 2014-03-04 |
| 1205265493 | Chung-fan Ni | Counselor | 182 S. W. Academy St., Academy Building, Dallas, OR 97338 | 2013-11-07 |
| 1215204300 | Ron Fritz | Counselor | 239 E. Ellendale, Suite 602, Dallas, OR 97338 | 2011-11-17 |
| 1235420167 | Deborah Kennedy | Counselor | 527 Ne Fern Ave, Dallas, OR 97338 | 2011-04-26 |
| 1821229774 | Chelsea Ruhoff Lee | Physician Assistant | 1000 Se Uglow Avenue, Flaming Medical Center, Dallas, OR 97338 | 2009-07-27 |
| 1013128560 | Larry J Vuylsteke | Social Worker | 182 S.w. Academy, Dallas, OR 97338 | 2007-05-25 |
| 1093926123 | Justin W Reed | Counselor | Academy Building, 182 S.w. Academy St. Suite 304, Dallas, OR 97338 | 2007-05-24 |
| Find all providers in zip 97338 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058895 | Kailey Elaine Flowers | Physical Therapy Assistant | 2400 Empire Central Drive, Suite B, Dallas, TX 75235 | 2020-06-19 |
| 1609499367 | David Marx | Physical Therapy Assistant | 8200 Walnut Hill Ln # Ln5, Dallas, TX 75231-4402 | 2020-05-28 |
| 1083277719 | Oluwafunmilayo Linda Shoyomi | Physical Therapy Assistant | 9842 Audelia Rd Apt 1093, Dallas, TX 75238-1967 | 2019-04-18 |
| 1871075333 | Tracy Hoeft | Physical Therapy Assistant | 8200 Walnut Hill Ln # Lane5, Dallas, TX 75231-4426 | 2018-08-31 |
| 1598247355 | Ruben Saldana Jr. | Physical Therapy Assistant | 10370 Fern Dr, Dallas, TX 75228-3278 | 2018-08-29 |
| 1508347139 | Angela Fleming | Physical Therapy Assistant | 2450 Bickers St, Dallas, TX 75212-1507 | 2018-08-22 |
| 1093204745 | Sarah Lambert | Physical Therapy Assistant | 18959 Dallas Pkwy Apt 2621, Dallas, TX 75287-3193 | 2018-05-08 |
| 1679072540 | Jordan Nicole Unger | Physical Therapy Assistant | 10640 Steppington Dr Apt 1217, Dallas, TX 75230-4606 | 2018-02-06 |
| 1821502261 | Vanessa Mcclam | Physical Therapy Assistant | 4280 Trinity Mills Rd Apt 605, Dallas, TX 75287-7624 | 2017-11-21 |
| 1972039576 | Tim Sumler | Physical Therapy Assistant | 4114 Newton Ave, Apt 104, Dallas, TX 75219-3058 | 2017-05-03 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.