Kristel Deckx, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4314 Issued in CO

Practice address

17351 Drake St
Broomfield, CO 80023-5205

Phone

(303) 908-0500

NPI assigned

Nov 18, 2024

Sex

Male

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

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1992520647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 JAMES CIR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016805",
            "telephone_number": "720-421-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17351 DRAKE ST",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800235205",
            "telephone_number": "303-908-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKX",
        "first_name": "KRISTEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "4314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DCRX Infusion (Diabetic Care RX)
• Shawna L De Graff Roberson, D.O.
• Cassio De Souza, RN
• Nancy Lynn Deangelo, R.PH.
• Nicole Ryann Debruyne, CCC-SLP
• Dana Lenee Defreece, RN, IBCLC
• Kevin Degroot, PT, DPT
• Stephanie Dehlin
• Tana Dell, LCSW
• Kristin Delnegro, PAC

• Physical Therapist in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.