Kylie Nicole Sramek, DOCTOR OF PT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT017121 Issued in OH

Practice address

201 Front St
Berea, OH 44017

Phone

(440) 260-7670

NPI assigned

Sep 5, 2017

Last updated

Sep 5, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Synergy Physical Therapy and Wellness, LLCGroup PAC ID 2365503620, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Synergy Physical Therapy and Wellness, LLC

  • Physical Therapy Clinic/Center
  • Ashtabula, OH
  • NPI 1942450622
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504569600000",
    "number": "1548788086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4543 WEST 226 STREET",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "44126",
            "telephone_number": "440-539-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 FRONT ST",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "44017",
            "telephone_number": "440-260-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRAMEK",
        "first_name": "KYLIE",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "DOCTOR OF PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2017-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "PT017121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maleeka Smith
• Marceal Desire' Smith, MSSA, LSW
• Theresa Maria Smith, LISW
• Selitha Sobota, RN
• Sprout Mental Health
• Deanna Christine Starks
• Meredith A Starks
• Larraine Frick Stehlik, MSW,LISW,CCDCI
• Tyecia Stevens, CNP
• Holly Aileen Disch Stoddard, MSSA, LISW

• Physical Medicine & Rehabilitation Physician in Berea, OH
• Providers in Berea, OH by specialty
• Physical Medicine & Rehabilitation Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; 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.