Individual provider Active NPI

Laura C Konrad, OTR/L

  • Occupational Therapist
  • Ann Arbor, MI
National Provider Identifier
1750648812
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201001076 Issued in MI
Practice address
809 Dartmoor Rd
Ann Arbor, MI 48103-4517
Phone
(734) 623-3204
NPI assigned
Apr 13, 2012
Last updated
Apr 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201001076 MI Primary

Addresses

Primary practice location

809 Dartmoor Rd
Ann Arbor, MI 48103-4517

Mailing address

809 Dartmoor Rd
Ann Arbor, MI 48103-4517
Phone (734) 623-3204

Other identifiers 2

IdentifierTypeStateIssuer
5201001076OtherMIMICHIGAN BOARD OF OCCUPATIONAL THERAPISTS LICENCE
988055OtherNATIONAL BOARD FOR CERTIFICATION OF OCCUPATIONAL THERAPISTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140402001725 MI Practitioner - Occupational Therapist in Private Practice 1759512882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201001076MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nrmi, LLC CurrentSince Jan 19, 2026 Accepting new patients

Locations

313 Congress St
Boston, MA 02210

5570 Whittaker Rd
Ypsilanti, MI 48197
Phone (517) 263-5810

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334275200000",
    "number": "1750648812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 DARTMOOR RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034517",
            "telephone_number": "734-623-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 DARTMOOR RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034517",
            "telephone_number": "734-623-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONRAD",
        "first_name": "LAURA",
        "middle_name": "C",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201001076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN BOARD OF OCCUPATIONAL THERAPISTS LICENCE",
            "identifier": "5201001076",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD FOR CERTIFICATION OF OCCUPATIONAL THERAPISTS",
            "identifier": "988055",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.