Provider Demographics
NPI:1235181686
Name:SWOPE, REBECCA L (MPT)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:L
Last Name:SWOPE
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:L
Other - Last Name:RUCCI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:790 E MARKET ST
Mailing Address - Street 2:STE 290
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-4806
Mailing Address - Country:US
Mailing Address - Phone:610-696-3305
Mailing Address - Fax:610-696-3306
Practice Address - Street 1:790 E MARKET ST
Practice Address - Street 2:SUITE 290
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-4806
Practice Address - Country:US
Practice Address - Phone:610-696-3305
Practice Address - Fax:610-696-3306
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT015762225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA071286SEDMedicare PIN