Christian Kyle Gerardo Decampong, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0066 Issued in MP

Practice address

PO Box 504816
Saipan, MP 96950-4309

Phone

(670) 323-6877

NPI assigned

Jan 25, 2025

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1737763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737763200000",
    "number": "1760294789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 503361",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969503361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 504816",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969504309",
            "telephone_number": "670-323-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECAMPONG",
        "first_name": "CHRISTIAN KYLE",
        "middle_name": "GERARDO",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-25",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "011212",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MP",
            "license": "0066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Despabiladeras Danao, R.N.
• Hormazdiar Dara Dastoor, M.D.
• Philip A Dauterman, MD
• Gabriel Banu De Guzman, M.D.
• Steven Michael Debulgado, DDS
• Dental Care, Inc.
• Diamond Care, L.L.C (Diamond Home Health Care)
• Marc Joseph Bernal Dizon, RN
• Carlo Romulo S Dotimas, RPT
• Anthony DC Dowling, M.D.

• Physical Therapist in Saipan, MP
• Providers in Saipan, MP by specialty
• Physical Therapist in Northern Mariana Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2025; 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.