Healthcare Provider Details

I. General information

NPI: 1598626814
Provider Name (Legal Business Name): EMILY RACANA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 S FRANKLIN ST STE 201
WAKE FOREST NC
27587-2799
US

IV. Provider business mailing address

2811 WELLINGTON AVE
SCHENECTADY NY
12306-2216
US

V. Phone/Fax

Practice location:
  • Phone: 919-556-1700
  • Fax:
Mailing address:
  • Phone: 518-390-7020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL88548
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP24563
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number43648
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: