IndividualActive
John Konopka, OT
NPI 1700828068 · Physical Rehabilitation Occupational Therapist · Myrtle Beach, SC
Provider details
- NPI number
- 1700828068
- Entity type
- Individual
- Primary specialty
- Physical Rehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2472 (SC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
485 Emerson Dr
Myrtle Beach, SC 29579-5291
Phone: (843) 424-1690
Approximate (ZIP-level) locationGet directions
Mailing address
485 Emerson Dr
Myrtle Beach, SC 29579-5291
Additional practice locations (1)
- 256 Eagle RunLongs, SC 29568-5800Phone: (843) 455-7505Fax: (866) 668-9946
Registry dates
- Enumerated
- 2006-06-12
- Last updated
- 2020-02-07
- Certified
- 2020-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.