Nicole Decristoforo
NPI 1578933040ActiveIndividual· Physical Therapist· Middletown, RI
Physical Therapist with Select San Diego Physical Therapy PC, practicing in Middletown, Rhode Island. Medicare paid $25,988 for services to 42 patients in 2024.
Overview
| NPI | 1578933040 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 28, 2015 |
| Last updated in NPPES | May 31, 2023 |
| Certified by provider | May 31, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT02823 | RI |
| Physical Therapist | 225100000X | PT299778 | CA |
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 (CA); Practitioner - Physical Therapist in Private Practice (RI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 42 |
|---|---|
| Services billed | 1,112 across 11 procedure codes |
| Paid by Medicare | $25,988 |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Select San Diego Physical Therapy PCSan Diego, CA · 61 clinicians
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