Individual provider Active NPI

Emily Elizabeth Kolenda, PT, DPT

  • Physical Therapist
  • Adams, NY
National Provider Identifier
1043965486
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
043265 Issued in NY
Practice address
70 N Main St
Adams, NY 13605-3102
Phone
(315) 232-2225
Fax
(315) 232-2800
NPI assigned
Feb 15, 2022
Last updated
May 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 043265 NY Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220622001873 NY Practitioner - Physical Therapist in Private Practice 3072992072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 PCGroup PAC ID 8224205604, 3 clinicians

Practice addresses (Care Compare)

70 N Main St
Adams, NY 13605-3102
Phone (315) 232-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043265NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
South Jefferson Physical Therapy PC Physical Therapist CurrentSince May 16, 2022 Accepting new patients
Sage Physical Therapy and Wellness PLLC Physical Therapist PastSince May 12, 2026 Accepting new patients
Robert Berkley Physical Therapy PC PastSince Feb 1, 2022 Accepting new patients

Locations

70 N Main St
Adams, NY 13605
Phone (315) 232-2225

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1043965486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 N MAIN ST",
            "city": "ADAMS",
            "state": "NY",
            "postal_code": "136053102",
            "telephone_number": "315-232-2225",
            "fax_number": "315-232-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 N MAIN ST",
            "city": "ADAMS",
            "state": "NY",
            "postal_code": "136053102",
            "telephone_number": "315-232-2225",
            "fax_number": "315-232-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLENDA",
        "first_name": "EMILY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adams, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.