John Konopka, OT

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

2472 Issued in SC

Practice address

485 Emerson Dr
Myrtle Beach, SC 29579-5291

Phone

(843) 424-1690

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

Yes

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

Practice roles

Locations

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.

• David L. Haught, PA

  • Specialist
  • Little River, SC
  • NPI 1669774998
  NPD

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1700828068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 EMERSON DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295795291",
            "telephone_number": "843-424-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 EMERSON DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295795291",
            "telephone_number": "843-424-1690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "256 Eagle Run",
            "address_purpose": "LOCATION",
            "city": "Longs",
            "state": "SC",
            "postal_code": "295685800",
            "country_code": "US",
            "telephone_number": "843-455-7505",
            "fax_number": "866-668-9946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONOPKA",
        "first_name": "JOHN",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "2472",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "SC",
            "license": "2472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH1581",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alimitha Monali Kodali, MD
• Jeanmarie Koehn, CRT,RCP
• Yashaswi Koguru, M.D.
• Venkata Sai Kolluru, DO
• Geeth Abhishek Kondaveeti, MD
• Jimmy L Kontos, MD
• Teresa Regina Kontos, MD
• Jarrett Koper, DO
• Hope Koroly, PT, DPT
• William Henry Korthals III, MSW, LCSW

• Physical Rehabilitation Occupational Therapist in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Physical Rehabilitation Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.