Tara Marie Konieczny

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

001739 Issued in CT

Practice address

200 Seabury Dr
Bloomfield, CT 06002-2650

Phone

(860) 286-0243

NPI assigned

Jan 8, 2018

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

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1639686041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 SILVER ST",
            "city": "NORTH GRANBY",
            "state": "CT",
            "postal_code": "060601104",
            "telephone_number": "860-978-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SEABURY DR",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022650",
            "telephone_number": "860-286-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONIECZNY",
        "first_name": "TARA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CT",
            "license": "001739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Kleska, PT
• Emily Kate Kloo, LCSW
• Oksana Kloyzner, MD
• KNC Associates, LLC
• Vishal Kochar, M.D.
• Carolyn Morrell Kosack, M.D.
• Adam Thomas Krakowiak
• Michael M Krinsky, MD
• Kris Albrecht LLC
• Kristin Godiksen Physical Therapy and Wellness

• Occupational Therapy Assistant in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• Occupational Therapy Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.