Kathryn Elemento

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT012298 Issued in GA

Practice address

1114 S Wall St
Calhoun, GA 30701-3062

Phone

(706) 624-3000

Fax

(706) 624-3001

NPI assigned

Apr 18, 2016

Last updated

Dec 2, 2021By the provider in NPPES

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

Other names 1

• Kathryn Elmore Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Activekidz and Adult Therapy Services

  • Pediatric Rehabilitation Medicine Physician
  • Calhoun, GA
  • NPI 1194571760
  NPD
• Advance Rehabilitation for Kids of Gordon County, Inc

  dba Advance Rehab for Kids

  • Rehabilitation Clinic/Center
  • Calhoun, GA
  • NPI 1376513382
  NPD (past)

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1073967873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 S WALL ST",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307013062",
            "telephone_number": "706-624-3000",
            "fax_number": "706-624-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 S WALL ST",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307013062",
            "telephone_number": "706-624-3000",
            "fax_number": "706-624-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELEMENTO",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "ELMORE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dr. Leon Gresham
• Marc Mitchell Dyke, CRNA
• Lacey Eaton
• Ugochukwu Ekpechi
• Ene L Ekpo
• Matthew Eller, PT
• Moslem Eskandari
• Christa Evans, OTR/L
• Emele Evans
• Payton Evans, MS, CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.