Active NPI
Kelly M Konrad, OT
- Specialist
- Barrington, NJ
National Provider Identifier
1972680254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 46TR00369800
- Practice address
- 50 E Gloucester Pike
Barrington, NJ 08007-1323 - Phone
- (856) 547-4422
- Fax
- (856) 547-0660
- NPI assigned
- Nov 1, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 46TR00369800 | NJ | Primary |
Addresses
Primary practice location
50 E Gloucester Pike
Barrington, NJ 08007-1323
Mailing address
601 Warwick Rd
Haddonfield, NJ 08033-3926
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00369800 | NJ | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972680254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 WARWICK RD",
"city": "HADDONFIELD",
"state": "NJ",
"postal_code": "080333926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 E GLOUCESTER PIKE",
"city": "BARRINGTON",
"state": "NJ",
"postal_code": "080071323",
"telephone_number": "856-547-4422",
"fax_number": "856-547-0660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONRAD",
"first_name": "KELLY",
"middle_name": "M",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "46TR00369800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barrington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.