NPIMap

Organization Active NPI

Bay Area Rehabilitation Center

  • Rehabilitation Clinic/Center
  • Baytown, TX
National Provider Identifier
1003842642
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
BAY AREA REHABILITATION CENTER
Practice address
5313 Decker Dr
Baytown, TX 77520-1413
Phone
(281) 838-4477
Fax
(281) 838-3465
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Kimberly Watson
Title
Executive Director
Phone
(281) 838-4477

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X
Rehabilitation Clinic/Center 261QR0400X Primary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 6052400 TX

Addresses

Primary practice location

5313 Decker Dr
Baytown, TX 77520-1413

Mailing address

5313 Decker Dr
Baytown, TX 77520-1413
Phone (281) 838-4477

Other identifiers 4

IdentifierTypeStateIssuer
021258101MedicaidTX
091741101MedicaidTX
676753OtherTXMEDICARE CCN
142522501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190621001695 TX Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 8820907405 Practice locations: Baytown, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003842642. Details of each certification follow.

  • CCN 676753 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 676753

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
BAY AREA REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Nov 22, 2019
Last certification
Nov 22, 2019
Ownership / control type
Voluntary Non-Profit Other Than Church
Facility address
5313 Decker Dr
Baytown, TX 77520

National Provider Directory

National Provider Directory

Locations

510 Church St
Crosby, TX 77532
Phone (281) 328-1778

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1003842642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5313 DECKER DR",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775201413",
            "telephone_number": "281-838-4477",
            "fax_number": "281-838-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5313 DECKER DR",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775201413",
            "telephone_number": "281-838-4477",
            "fax_number": "281-838-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "281-838-4477"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": "6052400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021258101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091741101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CCN",
            "identifier": "676753",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142522501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.