Megan Louise Konrad, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA001916 Issued in GA

Practice address

623 Laurel Ridge Dr.
Box 4192
Ellijay, GA 30536

Phone

(419) 575-9082

NPI assigned

Jan 10, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1255877619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 LAUREL RIDGE DR # 4192",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305361934",
            "telephone_number": "419-575-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 LAUREL RIDGE DR.",
            "address_2": "BOX 4192",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "30536",
            "telephone_number": "419-575-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONRAD",
        "first_name": "MEGAN",
        "middle_name": "LOUISE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "OTA001916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl M. Keats, LCSW
• Kelvin Moss MD PC
• Alana Maria Kent, MD
• Kathy Lynn Kinnison, P.T.
• KJC Unlimited
• Barbara Ann Kroninger, DDS
• David Andrew Krout, PT
• Kayla Landaverde
• Lapham Dialysis LLC
• Robert W Lee, DC

• Occupational Therapy Assistant in Ellijay, GA
• Providers in Ellijay, GA by specialty
• Occupational Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.