Individual provider Active NPI

Jenna Eddy Krajewski, DPT

  • Physical Therapist
  • Rockland, ME
National Provider Identifier
1578867396
Registry record updated Jan 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3747 Issued in ME
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

Updated by the provider on Jan 9, 2011

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 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

Enrollment IDStateProvider typePAC IDDetails
I20110317000032 ME Practitioner - Physical Therapist in Private Practice 1355523028 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince Jul 1, 2024 Accepting new patients
Central Maine Medical Center CurrentSince Jul 1, 2024 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.