NICOLE DECRISTOFORO
NPI 1578933040
Physical Therapist in Middletown, RI

Active since September 28, 2015Accepts Medicare Assignment
88.29/100
CMS Quality Rating
73 VALLEY RD, MIDDLETOWN, RI 02842(401) 433-4172(014) 330-6124 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 31, 2023, Oct 25, 2022, Sep 28, 2015 (3 updates tracked since 2015).

About Nicole Decristoforo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE DECRISTOFORO (NPI 1578933040) is an individual physical therapist in Middletown, Rhode Island, licensed in Rhode Island (PT02823) and active in the NPI registry since September 2015. She is a graduate of Other (2015).

NPPES Registry Identity

NPI1578933040
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameNICOLE DECRISTOFORO
Location Address73 VALLEY RDMiddletown, RI 02842-5234
Mailing Address7625 Mesa College Dr Ste 101aSan Diego, CA 92111-5343 · (858) 277-1586 · Fax (858) 277-1828
Fax(014) 330-6124
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 28, 2015
Last NPPES UpdateMay 31, 20233 updates tracked since enumeration
NPPES CertifiedMay 31, 2023
NPI 1578933040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses Licensed in RI · PT02823 Licensed in CA · PT299778
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
73 VALLEY RD, Middletown, RI 02842

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicole Decristoforo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799095055
PECOS Enrollment IDI20211007000174

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
285 services35 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
278 services36 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
266 services39 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
162 services35 patients
Therapy procedure in a group setting 97150
Group therapy involves meeting with a trained therapist alongside others facing similar challenges. It provides a supportive environment to share experiences, learn coping strategies, and gain insights from others. It's a safe space for personal growth and mutual support.
78 services18 patients
Re-evaluation for physical therapy, typically 20 minutes 97164
A re-evaluation for physical therapy is a 20-minute session where your progress is assessed. Your physical therapist will check your current condition, compare it to previous records, and adjust your treatment plan if needed. This ensures your therapy remains effective and tailored to your needs.
17 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02842 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.22
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
73 VALLEY RD
MIDDLETOWN, RI 02842
Technician/Technologist (Optician)
73 VALLEY RD
MIDDLETOWN, RI 02842
Eyewear Supplier
73 VALLEY RD
MIDDLETOWN, RI 02842
Physical Therapist
73 VALLEY RD
MIDDLETOWN, RI 02842
Physical Therapist
73 VALLEY RD
MIDDLETOWN, RI 02842
Optometrist
73 VALLEY RD
MIDDLETOWN, RI 02842
Ophthalmology
73 VALLEY RD
MIDDLETOWN, RI 02842
Eyewear Supplier
73 VALLEY RD
MIDDLETOWN, RI 02842

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Decristoforo's NPI number?

The NPI number for Nicole Decristoforo is 1578933040. It was assigned to this individual provider in the NPPES registry on September 28, 2015.

Where is Nicole Decristoforo located?

Nicole Decristoforo practices at 73 Valley Rd, Middletown, RI 02842. The listed phone number is (401) 433-4172.

What is Nicole Decristoforo's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Nicole Decristoforo enrolled in Medicare?

Yes. Nicole Decristoforo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nicole Decristoforo was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.