Trevor Rappa, PT, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01731900 Issued in NJ

Practice address

100 Passaic Ave
Chatham, NJ 07928-2848

Phone

(309) 824-5130

NPI assigned

Dec 11, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Resilient Performance Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Darien, CT
  • NPI 1649925173
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1639684723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 COLLEGE PL",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792506",
            "telephone_number": "309-824-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PASSAIC AVE",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282848",
            "telephone_number": "309-824-5130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38 E 32nd St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100165507",
            "country_code": "US",
            "telephone_number": "800-567-1891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAPPA",
        "first_name": "TREVOR",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-11",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01731900",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038952",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Orthopedic and Sports Physical Therapy of NJ, LLC
• PT Services
• Avirath Purohit
• Quiet Mind CBT, LLC
• Sara Rankin, DMD
• Mark Reed, PH.D.
• Sharon A Reeve, PHD, BCBA-D
• Jacqueline Susan Reid, DDS
• Vicki Reinhard, LCSW
• Thomas Reinhardt, PT

• Physical Therapist in Chatham, NJ
• Providers in Chatham, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.