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

Nicole Decristoforo

Individual provider Physical Therapist · NPI 1578933040

Nicole Decristoforo is a Physical Therapist in Private Practice in Middletown, Rhode Island. Qualified in 2015, 11 years ago. Practices with Select San Diego Physical Therapy PC, a 58-clinician group and accepts Medicare assignment. Licensed in California and Rhode Island.

Years since qualifying
11
Licensed in
CA, RI
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

73 Valley Rd
Middletown, RI 02842-5234
Phone: (401) 433-4172
Fax: (014) 330-6124
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT02823 (RI)
Physical Therapist Taxonomy 225100000X · Licence PT299778 (CA)

Record details

NPI number1578933040
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 28, 2015
Last updated in NPPESMay 31, 2023
Certification dateMay 31, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Select San Diego Physical Therapy Pc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Middletown