Provider Demographics
NPI:1811072135
Name:RAPPOSELLI, STEPHEN (PT,OCS)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:
Last Name:RAPPOSELLI
Suffix:
Gender:M
Credentials:PT,OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 YORKLYN RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:HOCKESSIN
Mailing Address - State:DE
Mailing Address - Zip Code:19707-8728
Mailing Address - Country:US
Mailing Address - Phone:302-234-2288
Mailing Address - Fax:302-234-2869
Practice Address - Street 1:720 YORKLYN RD
Practice Address - Street 2:SUITE 150
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707-8728
Practice Address - Country:US
Practice Address - Phone:302-234-2288
Practice Address - Fax:302-234-2869
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-0000438225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEDG4298Medicare PIN
DE022600P91Medicare PIN