Nicholas Geoffrey Rapport

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

63 E Wharf Rd
Madison, CT 06443-3115

Phone

(203) 640-1065

NPI assigned

Jan 30, 2019

Sex

Male

Sole proprietor

Yes

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)

Enrolled

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1730643164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 E WHARF RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433115",
            "telephone_number": "203-640-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 E WHARF RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433115",
            "telephone_number": "203-640-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPPORT",
        "first_name": "NICHOLAS",
        "middle_name": "GEOFFREY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elaine Provini, MD
• Henry Puciato, RN, APRN
• Erin Puzycki, LCSW
• Kaitlin C Quallen, MD
• Rita Rabheru, MD
• Rounak Babula Rawal, M.D.
• Nicholas Alexander Read, DO
• Rebecca L. Petersen, LCSW, LLC
• Recovery Services of Connecticut, LLC
• Recovery Services of Connecticut, LLC

• Physical Therapist in Madison, CT
• Providers in Madison, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.