Active NPI
Jenna Eddy Krajewski, DPT
- Physical Therapist
- Rockland, ME
National Provider Identifier
1578867396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3747
- Practice address
- 91 Camden St Ste 307
Rockland, ME 04841-2421 - Phone
- (207) 593-6682
- NPI assigned
- Jan 9, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT3747 | ME | Primary |
Addresses
Primary practice location
91 Camden St Ste 307
Rockland, ME 04841-2421
Mailing address
147 Branch Mills Rd
South China, ME 04358-5411
Phone (207) 624-2402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Maine Medical Center | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients |
Locations
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
25 Bowdoin St
Manchester, ME 04351
Phone (207) 248-0500
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1033874458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294531200000",
"number": "1578867396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 BRANCH MILLS RD",
"city": "SOUTH CHINA",
"state": "ME",
"postal_code": "043585411",
"telephone_number": "207-624-2402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 CAMDEN ST STE 307",
"city": "ROCKLAND",
"state": "ME",
"postal_code": "048412421",
"telephone_number": "207-593-6682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAJEWSKI",
"first_name": "JENNA",
"middle_name": "EDDY",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-09",
"last_updated": "2011-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT3747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.