Individual provider Active NPI

Elaina Manolis, PT, DPT

  • Orthopedic Physical Therapist
  • Dracut, MA
National Provider Identifier
1114390978
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
22025 Issued in MA
Practice address
1095 Lakeview Ave
Dracut, MA 01826-4718
Phone
(978) 955-9448
Fax
(978) 955-9449
NPI assigned
Nov 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 22025 MA Primary

Addresses

Primary practice location

1095 Lakeview Ave
Dracut, MA 01826-4718

Mailing address

125 Forest Park Road
Dracut, MA 02184
Phone (781) 807-6139

Other practice location 1

3 Strawberry Ln
Dracut, MA 01826-3148
Phone (505) 235-1528

Other names 1

  • Elaina Kapuranis Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220421002377 MA Practitioner - Physical Therapist in Private Practice 5698162634 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab Health 360 LLCGroup PAC ID 8325441603, 14 clinicians

Practice addresses (Care Compare)

289 Great Rd
Suite 306
Acton, MA 01720-4766
Phone (508) 667-0114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22025MAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Rehab, Inc, PC Orthopedic CurrentSince Aug 23, 2022 Accepting new patients
Rehab Health 360 LLC Orthopedic CurrentSince Oct 22, 2024 Accepting new patients

Locations

289 Great Rd
Ste 306
Acton, MA 01720
Phone (508) 667-0114

227 Chelmsford St
Chelmsford, MA 01824
Phone (978) 250-0032

278 Broadway St
Lowell, MA 01854
Phone (978) 452-6633

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1114390978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 FOREST PARK ROAD",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "02184",
            "telephone_number": "781-807-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 LAKEVIEW AVE",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018264718",
            "telephone_number": "978-955-9448",
            "fax_number": "978-955-9449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Strawberry Ln",
            "address_purpose": "LOCATION",
            "city": "Dracut",
            "state": "MA",
            "postal_code": "018263148",
            "country_code": "US",
            "telephone_number": "505-235-1528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANOLIS",
        "first_name": "ELAINA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "22025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINA",
            "last_name": "KAPURANIS",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dracut, MA

Sources for this page

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