Krystal Delisser

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1834 Clairmont Rd Ste 200
Decatur, GA 30033

Phone

(044) 711-8514

Fax

(404) 471-1854

NPI assigned

Oct 10, 2014

Sex

Female

Sole proprietor

No

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)

Enrolled

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.

• Decatur Hand Therapy Specialists Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Decatur, GA
  • NPI 1851506448
  NPD (past)

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1447654074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 DEKALB INDUSTRIAL WAY STE 103",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301756",
            "telephone_number": "404-296-8511",
            "fax_number": "404-296-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 CLAIRMONT RD STE 200",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30033",
            "telephone_number": "044-711-8514",
            "fax_number": "404-471-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELISSER",
        "first_name": "KRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-10",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niklaus Andreas Delfavero, D.C.
• Nathalie Delgado
• Delightful'S Private Home Care,LLC
• Shanti Delima, LMSW
• Nerissa P Delisle, CRNFA
• Adriana Luisa Della Porta, MD
• Sylena Deloach, NP
• Madeleine Delportillo, MD
• Thomas Patrick Demarini, MD
• Hanna B Demeke, RN

• Physical Therapist in Decatur, GA
• Providers in Decatur, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.