Individual provider Active NPI

Ellen Robyn Konsol, OTR

  • Occupational Therapist
  • Rochester Hills, MI
National Provider Identifier
1922440304
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201008508 Issued in MI
Practice address
1349 S Rochester Rd
Ste 215
Rochester Hills, MI 48307-3150
Phone
(248) 218-5150
Fax
(248) 218-5155
NPI assigned
Jul 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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 5201008508 MI Primary

Addresses

Primary practice location

1349 S Rochester Rd
Ste 215
Rochester Hills, MI 48307-3150

Mailing address

5798 Highland Rd
Waterford, MI 48327-1826
Phone (248) 724-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131119000419 MI Practitioner - Occupational Therapist in Private Practice 7416183660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Hand and Rehabilitation LLCGroup PAC ID 4183914047, 12 clinicians

Practice addresses (Care Compare)

1282 Kirts Blvd
Suite 102
Troy, MI 48084-4888
Phone (248) 918-5560

1910 S Rochester Rd
Rochester Hills, MI 48307-3534
Phone (248) 218-5150

42869 Woodward Ave
Bloomfield Hills, MI 48304-5036
Phone (248) 724-4400

5798 Highland Rd
Waterford, MI 48327-1826
Phone (248) 724-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201008508MIMDOccupational Therapist

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1922440304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5798 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271826",
            "telephone_number": "248-724-4000",
            "fax_number": "248-724-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 S ROCHESTER RD",
            "address_2": "STE 215",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073150",
            "telephone_number": "248-218-5150",
            "fax_number": "248-218-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONSOL",
        "first_name": "ELLEN",
        "middle_name": "ROBYN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201008508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.