JOHN KONOPKA, OT — NPI 1700828068 (Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) in MYRTLE BEACH, SC)

CMS-1500 Box 24J / 33a • NPI

1700828068

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

225XP0019X (CMS 67)

Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)

Box 32 Service Location & ZIP+4

485 EMERSON DR, MYRTLE BEACH, SC, 29579-5291

✓ 9-Digit EDI 837 ZIP+4 (29579-5291)

Practice Phone & Referral Fax

(843) 424-1690

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1700828068 (JOHN KONOPKA, OT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1700828068` (NPI-1 Individual Practitioner)
Provider / Legal Name	JOHN KONOPKA, OT
Plain-English Specialty	Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) NUCC Code: `225XP0019X` (Occupational Therapist, Physical Rehabilitation)
Certifying / Licensing Body	National Board for Certification in Occupational Therapy (NBCOT)
Practice Location Address	485 EMERSON DR, MYRTLE BEACH, SC, 29579-5291
Practice Telephone / Fax	Tel: (843) 424-1690
Administrative Mailing Address	485 EMERSON DR, MYRTLE BEACH, SC, 29579-5291
Enumeration & Last Sync	Enumerated: 2006-06-12 \| CMS Record Updated: 2020-02-07

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

485 EMERSON DR, MYRTLE BEACH, SC, 29579-5291

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Plain-English Taxonomy & CMS Crosswalk (225XP0019X)

What Does Taxonomy Code 225XP0019X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225XP0019X translates to:
"Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 67 (Occupational Therapist in Private Practice)
Certifying / Accrediting Authority: National Board for Certification in Occupational Therapy (NBCOT)
Clinical Scope: Regaining hand function, fine motor skills, and independent daily living after stroke, hand injury, or pediatric developmental delay.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JOHN KONOPKA, OT)

Typical CPT / Diagnostic Procedures:

Activities of Daily Living (ADL) & Neuromuscular Re-Education (CPT 97530–97535)
Upper Extremity Hand Therapy, Custom Splinting & Home Safety Ergonomics

Common Therapeutic Classes:

Non-Pharmacological Functional & Sensory-Motor Rehabilitation Protocols

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`225100000X` — Physical Therapist Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist	State: SC \| License: `2472` \| Primary: Secondary
`225XP0019X` — Occupational Therapist, Physical Rehabilitation Plain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)	State: SC \| License: `2472` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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JOHN KONOPKA, OT (NPI #1700828068)