| Nicole Decristoforo, | |
|
73 Valley Rd, Middletown, RI 02842-5234 | |
| (401) 433-4172 | |
| (014) 330-6124 |
| Full Name | Nicole Decristoforo |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 11 Years |
| Location | 73 Valley Rd, Middletown, Rhode Island |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578933040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT299778 (California) | Secondary |
| 225100000X | Physical Therapist | PT02823 (Rhode Island) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Select San Diego Physical Therapy Pc | 4981088994 | 51 |
| Provider Name | Jordan Physical Therapy Center Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1730260407 PECOS PAC ID: 8325093693 Enrollment ID: O20050318000900 |
| Provider Name | Select San Diego Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1700516408 PECOS PAC ID: 4981088994 Enrollment ID: O20220824003600 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Decristoforo, 7625 Mesa College Dr Ste 101a, San Diego, CA 92111-5343 Ph: (858) 277-1586 | Nicole Decristoforo, 73 Valley Rd, Middletown, RI 02842-5234 Ph: (401) 433-4172 |
Mrs. Diane Lynn Butler, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 333 Green End Avenue, Middletown, RI 02842 Phone: 401-849-7100 | |
Rhode Island Limb Co Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 26 Valley Rd Ste 101, Middletown, RI 02842 Phone: 401-619-4639 Fax: 401-619-2333 | |
Janae Michelle O'bryant, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 73 Valley Rd, Middletown, RI 02842 Phone: 401-289-2170 Fax: 401-289-2634 | |
Mrs. Kristin Riley, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1181 Aquidneck Ave, Olympic Physical Therapy, Middletown, RI 02842 Phone: 401-845-0840 Fax: 401-845-0842 | |
Mrs. Kathleen Patricia Casimiro, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 333 Green End Ave, Middletown, RI 02842 Phone: 401-849-7100 | |
Bryan Raksnis, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 73 Valley Rd, Middletown, RI 02842 Phone: 401-289-2170 Fax: 401-289-2634 | |
Joshua Ronald Clare, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1181 Aquidneck Ave, Middletown, RI 02842 Phone: 401-845-0840 Fax: 401-845-0842 |