# STEPHANIE W CISNEROS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1467534412
- **Gender:** F
- **Credential:** PT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 62657 | OR | Yes |
| 225100000X | Physical Therapist | 7438 | AZ | — |
| 2251H1200X | Hand Physical Therapist | PT60839924 | WA | — |
| 2251X0800X | Orthopedic Physical Therapist | 7438 | AZ | — |

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 05/28/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5550830001 | MEDICARE NSC SCW | AZ |
| 01 | — | 5550830003 | MEDICARE NSC PEORIA | AZ |
| 01 | — | 5550830004 | MEDICARE NSC PV | AZ |
| 01 | — | 5550830006 | MEDICARE NSC ANTHEM | AZ |
| 01 | — | 5550830007 | MEDICARE NSC DV | AZ |
| 01 | — | 5550830008 | MEDICARE NSC SWV | AZ |
| 01 | — | 5550830009 | MEDICARE NSC AZ NORTH | AZ |
| 01 | — | 5550830010 | MEDICARE NSC GILBERT | AZ |