Active NPI
Michael George Konoza, MSPT, ATC
- Physical Therapist
- Beaufort, SC
National Provider Identifier
1033187604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2703
- Practice address
- 1076 Ribaut Rd
Suite102
Beaufort, SC 29902-5476 - Phone
- (843) 521-1970
- Fax
- (843) 521-0908
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- 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 | 2703 | SC | Primary |
Addresses
Primary practice location
1076 Ribaut Rd
Suite102
Beaufort, SC 29902-5476
Mailing address
605 Ashdale Dr
Beaufort, SC 29907-2517
Phone (843) 522-2909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 Boundary St
Suite 101
Beaufort, SC 29902-6822
Phone (843) 521-1970
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.92 of 100
- Quality
- 89.84
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2703 | SC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Sportscare and Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Total Joint and Orthopedic Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Carolina Sportscare and Physical Therapy of Bluffton | Physical Therapist | Past | Accepting new patients |
Locations
1076 Ribaut Rd
Ste 102
Beaufort, SC 29902
Phone (843) 521-1970
1900 Boundary St
Ste 101
Beaufort, SC 29902
Phone (843) 521-1970
Organizations & group practices 3
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
- Beaufort, SC
- NPI 1659306785
-
- Orthopedic Physical Therapist
- Beaufort, SC
- NPI 1306143763
-
- Physical Therapist
- Bluffton, SC
- NPI 1306871439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214352000000",
"number": "1033187604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 ASHDALE DR",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299072517",
"telephone_number": "843-522-2909",
"fax_number": "843-521-0908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1076 RIBAUT RD",
"address_2": "SUITE102",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299025476",
"telephone_number": "843-521-1970",
"fax_number": "843-521-0908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONOZA",
"first_name": "MICHAEL",
"middle_name": "GEORGE",
"credential": "MSPT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2008-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "2703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.