Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marcos Cisca, PT, DPT

Individual provider Physical Therapist · NPI 1235867805

Marcos Cisca, PT, DPT is a Physical Therapist in Private Practice in Chicago, Illinois. Qualified in 2022, 4 years ago. Practices with Select San Diego Physical Therapy PC, a 58-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Illinois.

Years since qualifying
4
Licensed in
CA, IL
In the registry since
2022
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3542 E 118th St
Chicago, IL 60617-7314
Phone: (773) 435-9020
Fax: (773) 646-0445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 760 13th St, Imperial Beach, CA 91932-2308 — (858) 755-5200

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070.027662 (IL)
Physical Therapist Taxonomy 225100000X · Licence 302545 (CA)

Record details

NPI number1235867805
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 11, 2022
Last updated in NPPESAugust 11, 2023
Certification dateAugust 11, 2023
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Select San Diego Physical Therapy Pc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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