Sean P Konrad, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X011800 Issued in NY

Practice address

205 Main St
Ridgway, PA 15853-1015

Phone

(814) 772-6903

Fax

(585) 672-6179

NPI assigned

May 26, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Life in Motion Chiropractic and Wellness

  • Chiropractor
  • Ridgway, PA
  • NPI 1871892836
  NPD (past) Authorized official

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1295960888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 MAIN ST",
            "city": "RIDGWAY",
            "state": "PA",
            "postal_code": "158531015",
            "telephone_number": "814-772-6903",
            "fax_number": "585-672-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MAIN ST",
            "city": "RIDGWAY",
            "state": "PA",
            "postal_code": "158531015",
            "telephone_number": "814-772-6903",
            "fax_number": "585-672-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONRAD",
        "first_name": "SEAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-26",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010897",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION PROVIDER NUMBER",
            "identifier": "C11800-2W",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamestown Psychiatric PC
• Kolleen Kemmer, OTR/L
• Diane Kengersky, P.A.
• Katie Elizabeth Kerr
• Keystone Rural Health Consortia, Inc
• Rita Jane Kraus
• Life in Motion Chiropractic and Wellness
• Linda Mullen Lloyd, RN
• Betty Ann Lyle, LSW
• Nils Paul Magnusson, FNP-C PMHNP-BC

• Chiropractor in Ridgway, PA
• Providers in Ridgway, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.