Jaclyn Decristoforo, DPT
NPI 1194210245ActiveIndividual· Physical Therapist· East Greenwich, RI
Physical Therapist (DPT) with Specialized Orthopedic Physical Therapy Inc, practicing in East Greenwich, Rhode Island. Medicare paid $31,739 for services to 63 patients in 2024.
Overview
| NPI | 1194210245 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | Yes |
| NPI issued | Jun 29, 2018 |
| Last updated in NPPES | Oct 19, 2020 |
| Certified by provider | Oct 19, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT03286 | RI |
| Physical Therapist | 225100000X | — | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MA); Practitioner - Physical Therapist in Private Practice (RI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 63 |
|---|---|
| Services billed | 1,406 across 8 procedure codes |
| Paid by Medicare | $31,739 |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Specialized Orthopedic Physical Therapy IncWarwick, RI · 15 clinicians
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All 56 physical therapists in East Greenwich · All physical therapists in Rhode Island