Emily Elizabeth Kolenda, PT, DPT
Individual provider Active NPI Physical Therapist · Adams, NY
NPI 1043965486 · NPPES record last updated May 26, 2022
Key facts
- NPI
- 1043965486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 043265 (NY)
- Practice address
- 70 N Main St
Adams, NY 13605-3102 - Phone
- (315) 232-2225
- Fax
- (315) 232-2800
- NPI assigned
- Feb 15, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- State University of Ny Upstate Medical University, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- South Jefferson Physical Therapy PC
Practice addresses (Care Compare)
70 N Main St
Adams, NY 13605-3102
Phone (315) 232-2225
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220622001873 | NY | Practitioner - Physical Therapist in Private Practice | 3072992072 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043265 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Jefferson Physical Therapy PC | Physical Therapist | Current |
Accepting new patients |
| Robert Berkley Physical Therapy PC | Past |
Accepting new patients | |
| Sage Physical Therapy and Wellness PLLC | Physical Therapist | Past |
Accepting new patients |
Locations
70 N Main St
Adams, NY 13605
Phone (315) 232-2225
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 043265 | NY | Yes |
Addresses
Primary practice location
70 N Main St
Adams, NY 13605-3102
Mailing address
70 N Main St
Adams, NY 13605-3102
Phone (315) 232-2225
Other providers in Adams, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.