Jaclyn Decristoforo, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT03286 Issued in RI

Practice address

5750 Post Rd Ste 2a
East Greenwich, RI 02818-2139

Phone

(401) 726-7100

Fax

(401) 884-5428

NPI assigned

Jun 29, 2018

Last updated

Oct 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, RI2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.9 of 100Reported as group

Quality

79.21

Improvement activities

40

Cost

74.46

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Silver Fern Practice, LLC

  dba Highbar

  • Physical Therapist
  • Providence, RI
  • NPI 1851472914
  Medicare reassignment NPD
• Performance Rehabilitation of Western New England LLC

  dba ATI Physical Therapy of Western Massachusetts

  • Physical Therapist
  • West Springfield, MA
  • NPI 1710919063
  Medicare reassignment NPD
• Silver Fern Practice, LLC

  dba Highbar

  • Physical Therapist
  • Smithfield, RI
  • NPI 1013583426
  NPD
• Silver Fern Practice, LLC

  dba Highbar

  • Physical Therapist
  • East Greenwich, RI
  • NPI 1255889077
  NPD
• Performance Rehabilitation of Western New England LLC

  dba ATI Physical Therapy

  • Durable Medical Equipment & Medical Supplies
  • Wilbraham, MA
  • NPI 1376140566

  Physical Therapist

  NPD
• Carl Gustafson LLC

  dba Sports and Physical Therapy Associates

  • Physical Therapist
  • Wellesley, MA
  • NPI 1356366082
  NPD (past)

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1194210245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RICHMOND SQ STE 200",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065117",
            "telephone_number": "401-433-4172",
            "fax_number": "401-433-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 POST RD STE 2A",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028182139",
            "telephone_number": "401-726-7100",
            "fax_number": "401-884-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECRISTOFORO",
        "first_name": "JACLYN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT03286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Michael D'Alessandro, MD INC
• Anne E. Damrad, PH.D.
• Teresa Daniels, M.D.
• Debbi McInteer MD LLC (Debbi McInteer, MD)
• Leah Decesare, PCD(DONA), CD(DONA)
• Andrew John Deek, MD, DDS
• Sara E Delaporta, M.D.
• Kimberly Dennett, LMHC
• Jeffrey Denuccio
• Amber Depaola, NP

• Physical Therapist in East Greenwich, RI
• Providers in East Greenwich, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.