Kristen Rose Deciantis, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

972 W Main St
New Britain, CT 06053-3487

Phone

(860) 872-0745

NPI assigned

Jun 16, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1073243598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 MOUNT VERNON DR APT C",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060666547",
            "telephone_number": "860-494-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "972 W MAIN ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060533487",
            "telephone_number": "860-872-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECIANTIS",
        "first_name": "KRISTEN",
        "middle_name": "ROSE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawna Leigh Day, RPA-C
• Monica De Los Santos, MS SCHOOL COUNSELOR
• Daryl F De Villier II, PA
• Alexandra Deangelis, PA-C
• Courtney K Deangelis, B.A.
• Barbara Anne Decker
• Cristina Melinda Decrosta, LCSW
• Degroff RX LLC
• Degroff RX LLC
• Degroff RX, LLC

• Physical Therapist in New Britain, CT
• Providers in New Britain, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.