| John Konopka, OT | |
|
485 Emerson Dr, Myrtle Beach, SC 29579-5291 | |
| (843) 424-1690 | |
| Not Available |
| Full Name | John Konopka |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist - Physical Rehabilitation |
| Location | 485 Emerson Dr, Myrtle Beach, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700828068 | NPI | - | NPPES |
| TH1581 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2472 (South Carolina) | Secondary |
| 225XP0019X | Occupational Therapist - Physical Rehabilitation | 2472 (South Carolina) | Primary |
| Provider Name | David L. Haught, Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1669774998 PECOS PAC ID: 1850580176 Enrollment ID: O20110118000632 |
| Mailing Address | Practice Location Address |
|---|---|
| John Konopka, OT 485 Emerson Dr, Myrtle Beach, SC 29579-5291 Ph: (843) 424-1690 | John Konopka, OT 485 Emerson Dr, Myrtle Beach, SC 29579-5291 Ph: (843) 424-1690 |
Kel Z Gaskin Prock, MSR, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3603 Kingsley Dr, Myrtle Beach, SC 29588 Phone: 843-424-5450 | |
Shannon Southerland, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5000 Highway 17 Byp S, Myrtle Beach, SC 29588 Phone: 843-252-0033 | |
Carrie Deluca, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2200 Crow Ln Ste 201, Myrtle Beach, SC 29577 Phone: 843-848-5001 | |
Dorothy Gregory, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3620 Happy Woods Ct, Myrtle Beach, SC 29588 Phone: 843-293-2246 | |
Jacqueline Gibbons, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3799 Cape Landing Cir Apt C, Myrtle Beach, SC 29588 Phone: 845-313-2012 | |
Gabrielle Marrero, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4761 Highway 501 Ste 1, Myrtle Beach, SC 29579 Phone: 843-455-7505 | |
Alayna K Cline, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 109 Mountain Ash Ln Unit C, Myrtle Beach, SC 29579 Phone: 843-575-8768 |