Tara Jean Konradi, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0151261 Issued in NY

Practice address

50 Dey St
#334
Jersey City, NJ 07306-5149

Phone

(712) 299-1876

NPI assigned

Nov 19, 2008

Last updated

Sep 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1952556896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 CLOVER LN",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505882702",
            "telephone_number": "712-732-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 DEY ST",
            "address_2": "#334",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065149",
            "telephone_number": "712-299-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONRADI",
        "first_name": "TARA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-19",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "11729",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "0151261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vamsi K Kolli
• Ana Miguel Komotar, MD
• Nguessan Pelagie Konan, LPN
• Fady Konds
• Caroline Eberechi Konkwo Jr., MENTAL HEALTH COUNSE
• Funda Korkmaz, MD
• Lori Korsakoff, APN
• Berke Cenktug Korucu, M.D.
• Masoom Hitesh Kotecha
• Reshma Rajnikant Koul, MD

• Occupational Therapist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.