Rachel Kim Konicek

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA21054 Issued in FL

Practice address

8709 Forest Hills Blvd
Coral Springs, FL 33065-5474

Phone

(954) 991-2600

NPI assigned

Mar 10, 2016

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

Other names 1

• Rachel Kim Fortune Former name

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": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1396106969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8709 FOREST HILLS BLVD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655474",
            "telephone_number": "954-991-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8709 FOREST HILLS BLVD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655474",
            "telephone_number": "954-991-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONICEK",
        "first_name": "RACHEL",
        "middle_name": "KIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA21054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "FORTUNE",
            "middle_name": "KIM",
            "credential": "PTA21054",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Martin Kol, RPH
• Kathryn Kollar, PT, DPT
• Hamed A Komaiha, M.D.
• Komfortkare Services LLC
• Alexandra Sandy Konash-Rabolli, LMT
• Elaina Marie Konsoulas, LCSW
• Jonathan M Koota
• Brenda Kopec, OTR
• Asisha Sara Koshy, PHARM. D.
• Rebecca Kosoy, M.A. CCC-SLP

• Physical Therapy Assistant in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.