Active NPI
Elena Alexandrovna Kramarenko
- Physical Therapist
- Holly Springs, NC
National Provider Identifier
1770901597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT14606
- Practice address
- 190 Rosewood Centre Dr
Suite 101
Holly Springs, NC 27540-7628 - Phone
- (919) 363-8888
- NPI assigned
- Mar 29, 2014
- 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 | PT14606 | NC | Primary |
Addresses
Primary practice location
190 Rosewood Centre Dr
Suite 101
Holly Springs, NC 27540-7628
Mailing address
16 Maybrook Rd
Suite C
Campbell Hall, NY 10916-2743
Phone (845) 636-4344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14606 | NC | MD | Professional Counselor |
| PT14606 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Clayton, NC
- NPI 1336612365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396051200000",
"number": "1770901597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 MAYBROOK RD",
"address_2": "SUITE C",
"city": "CAMPBELL HALL",
"state": "NY",
"postal_code": "109162743",
"telephone_number": "845-636-4344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 ROSEWOOD CENTRE DR",
"address_2": "SUITE 101",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275407628",
"telephone_number": "919-363-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAMARENKO",
"first_name": "ELENA",
"middle_name": "ALEXANDROVNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-29",
"last_updated": "2014-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "PT14606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holly Springs, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.