Diane Decristoforo, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

30375 Issued in CA

Practice address

4990 Rocklin Rd
Suite #200
Rocklin, CA 95677-3336

Phone

(916) 632-2273

Fax

(916) 632-2279

NPI assigned

Oct 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• New Edge Physical Therapy Inc

  • Physical Therapist
  • Penn Valley, CA
  • NPI 1477196111
  NPD (past)
• Vibrantcare Outpatient Rehabilitation of California Inc

  • Physical Therapy Clinic/Center
  • Castro Valley, CA
  • NPI 1083618573
  NPD (past)
• Wildwood Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Penn Valley, CA
  • NPI 1952300782
  NPD (past)

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1376732552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 BROOK MAR CT",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957623701",
            "telephone_number": "206-992-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4990 ROCKLIN RD",
            "address_2": "SUITE #200",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956773336",
            "telephone_number": "916-632-2273",
            "fax_number": "916-632-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECRISTOFORO",
        "first_name": "DIANE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "30375",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "00007796",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "1678",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "9115",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "2539",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Camille Y De Leon
• Catherine Anne De Lipski, D.C.
• Alexander De Matos
• Lacey Rhiannion Arline Debraga
• Marilyn Decillis
• Jaymielee Defiesta
• Taylor Defreece
• Himdip Kaur Dehal, M.D.
• Maiana Ditan Del Mar, PT
• Raoul B Del Mar, M.D.

• Physical Therapist in Rocklin, CA
• Providers in Rocklin, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.