Basic Information
| Provider Information | |||||||||
| NPI: | 1740628395 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RAPKOWICZ | ||||||||
| FirstName: | DANIELLE | ||||||||
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| Credential: | DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1926 ALCOA HWY | ||||||||
| Address2: | BLDG. F, SUITE 200 | ||||||||
| City: | KNOXVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 379201545 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8655951940 | ||||||||
| FaxNumber: | 8655951945 | ||||||||
| Practice Location | |||||||||
| Address1: | 1926 ALCOA HWY | ||||||||
| Address2: | BLDG. F, SUITE 200 | ||||||||
| City: | KNOXVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 379201545 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8655951940 | ||||||||
| FaxNumber: | 8655951945 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/05/2013 | ||||||||
| LastUpdateDate: | 12/04/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 8659 | TN | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | 2352024 | 01 | TN | CIGNA | OTHER | Q008370 | 05 | TN | MEDICAID | 5494838 | 01 | TN | AETNA | OTHER | 6022731 | 01 | TN | BLUECROSS BLUESHIEL | OTHER |