Provider Demographics
NPI:1053566372
Name:RAPOSA, INA FRANCES (DPT)
Entity type:Individual
Prefix:
First Name:INA
Middle Name:FRANCES
Last Name:RAPOSA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:INA
Other - Middle Name:FRANCES
Other - Last Name:PIMENTAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1181 AQUIDNECK AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02842-5255
Mailing Address - Country:US
Mailing Address - Phone:401-845-0840
Mailing Address - Fax:401-845-0842
Practice Address - Street 1:1812 MAIN RD
Practice Address - Street 2:
Practice Address - City:TIVERTON
Practice Address - State:RI
Practice Address - Zip Code:02878-4625
Practice Address - Country:US
Practice Address - Phone:401-625-9855
Practice Address - Fax:401-625-9856
Is Sole Proprietor?:No
Enumeration Date:2008-12-01
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPT02192225100000X
MA21378225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIPT02192OtherRHODE ISLAND PT LIC.
MA21378OtherMA LIC
RI1053566372OtherTYPE 1 NPI
RI659094815Medicare PIN