Provider Demographics
NPI:1740628395
Name:RAPKOWICZ, DANIELLE (DPT)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:RAPKOWICZ
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1926 ALCOA HWY
Mailing Address - Street 2:BLDG. F, SUITE 200
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-1545
Mailing Address - Country:US
Mailing Address - Phone:865-595-1940
Mailing Address - Fax:865-595-1945
Practice Address - Street 1:1926 ALCOA HWY
Practice Address - Street 2:BLDG. F, SUITE 200
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1545
Practice Address - Country:US
Practice Address - Phone:865-595-1940
Practice Address - Fax:865-595-1945
Is Sole Proprietor?:No
Enumeration Date:2013-06-05
Last Update Date:2014-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8659225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN2352024OtherCIGNA
TNQ008370Medicaid
TN5494838OtherAETNA
TN6022731OtherBLUECROSS BLUESHIEL
TNQ008370Medicaid