| Stephanie W Cisneros, PT | |
| 
					14603 Sw Teal Blvd, Beaverton, OR 97007-6194  | |
| (971) 709-7193 | |
| (503) 567-2732 | 
| Full Name | Stephanie W Cisneros | 
|---|---|
| Gender | Female | 
| Speciality | Physical Therapist | 
| Location | 14603 Sw Teal Blvd, Beaverton, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1467534412 | NPI | - | NPPES | 
| 5550830003 | Other | AZ | MEDICARE NSC PEORIA | 
| 5550830004 | Other | AZ | MEDICARE NSC PV | 
| 5550830008 | Other | AZ | MEDICARE NSC SWV | 
| 5550830001 | Other | AZ | MEDICARE NSC SCW | 
| 5550830009 | Other | AZ | MEDICARE NSC AZ NORTH | 
| 5550830007 | Other | AZ | MEDICARE NSC DV | 
| 5550830010 | Other | AZ | MEDICARE NSC GILBERT | 
| 5550830006 | Other | AZ | MEDICARE NSC ANTHEM | 
| Provider Name | Erhardt Physical Therapy And Sports Medicine Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1326110313 PECOS PAC ID: 1153214739 Enrollment ID: O20040206000241  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Stephanie W Cisneros, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () -  | Stephanie W Cisneros, PT 14603 Sw Teal Blvd, Beaverton, OR 97007-6194 Ph: (971) 709-7193  | 
Krystyna Lee Lue, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8354 Sw Nimbus Ave, Beaverton, OR 97008 Phone: 971-219-4899  | |
Brynne Begalke, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12345 Sw Horizon Blvd Ste 57, Beaverton, OR 97007 Phone: 503-216-8825  | |
Marylou Strong,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4855 Sw Western Ave, Beaverton, OR 97005 Phone: 503-520-4950 Fax: 503-626-5529  | |
Amy Jo C Tanous, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13470 Sw Farmington Rd, Beaverton, OR 97005 Phone: 503-644-3311 Fax: 503-627-0112  | |
Meruu Core Choice Rehabilitation Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1975 Nw 167th Pl # 100-43, Beaverton, OR 97006 Phone: 971-205-2630  | |
Tyler Baca,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3925 Sw 153rd Dr Ste 210, Beaverton, OR 97003 Phone: 971-727-8155  | |
Linda Marie Froemming,  Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Sw Bowerman Dr # Bj1, Beaverton, OR 97005 Phone: 503-671-3962  |