Provider Demographics
NPI:1437590825
Name:RAPALO, ROBERTO MANUEL (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:ROBERTO
Middle Name:MANUEL
Last Name:RAPALO
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3630 CORLEAR AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-2374
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3630 CORLEAR AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-2374
Practice Address - Country:US
Practice Address - Phone:347-515-3057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-13
Last Update Date:2022-09-23
Deactivation Date:2022-05-17
Deactivation Code:
Reactivation Date:2022-09-23
Provider Licenses
StateLicense IDTaxonomies
NY035653225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist