Active NPI
Jake Rappaport, PT, DPT, COMT
- Physical Therapist
- Greenwich, CT
National Provider Identifier
1649081563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14459
- Practice address
- 75 Holly Hill LN FL 2
Greenwich, CT 06830-2917 - Phone
- (203) 276-8526
- NPI assigned
- Jan 20, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14459 | CT | Primary |
Addresses
Primary practice location
75 Holly Hill LN FL 2
Greenwich, CT 06830-2917
Mailing address
1906 Bedford St Apt 1
Stamford, CT 06905-4765
Phone (917) 557-8407
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14459 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737331200000",
"number": "1649081563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1906 BEDFORD ST APT 1",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069054765",
"telephone_number": "917-557-8407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 HOLLY HILL LN FL 2",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068302917",
"telephone_number": "203-276-8526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAPPAPORT",
"first_name": "JAKE",
"name_prefix": "Dr.",
"credential": "PT, DPT, COMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-20",
"last_updated": "2025-01-20",
"certification_date": "2025-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "14459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.