Active NPI
Daniel Michael Koncelik, LMT
- Mechanotherapist
- Jamaica Plain, MA
National Provider Identifier
1881847036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 3713
- Practice address
- 7 Harris Ave
2ND Floor
Jamaica Plain, MA 02130-2888 - Phone
- (617) 971-9500
- NPI assigned
- Nov 1, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 3713 | MA | Primary |
Addresses
Primary practice location
7 Harris Ave
2ND Floor
Jamaica Plain, MA 02130-2888
Mailing address
7 Harris Ave
2ND Floor
Jamaica Plain, MA 02130-2888
Phone (617) 971-9500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3713 | MA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225497600000",
"number": "1881847036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 HARRIS AVE",
"address_2": "2ND FLOOR",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021302888",
"telephone_number": "617-971-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 HARRIS AVE",
"address_2": "2ND FLOOR",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021302888",
"telephone_number": "617-971-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONCELIK",
"first_name": "DANIEL",
"middle_name": "MICHAEL",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-01",
"last_updated": "2008-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "MA",
"license": "3713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica Plain, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.