Sean Raphaely

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

M04550 Issued in MD

Practice address

4007 Fallstaff Rd
Baltimore, MD 21215-1405

Phone

(443) 766-9626

NPI assigned

Jan 13, 2015

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

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719705600000",
    "number": "1891184990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 FALLSTAFF RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 FALLSTAFF RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151405",
            "telephone_number": "443-766-9626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3619 Glengyle Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212151556",
            "country_code": "US",
            "telephone_number": "443-766-9626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAPHAELY",
        "first_name": "SEAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-13",
        "last_updated": "2024-06-30",
        "certification_date": "2024-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "A4156",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "M04550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Rapaka, DO
• Neha Raparla, MD
• Rachel A Raphael, MA, CCC-A
• Ralph D Raphael, PH.D.
• Shanna Danielle Raphael, PA
• Rapid Heartbeatllc
• Rapid RX Lab, LLC
• Eugene Paul Rapier Jr.
• Aaron Paul Rapoport, M.D.
• Jeffrey Rappaport, MD, PHD

• Massage Therapist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Massage Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2024; 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.