Active NPI
Rehabilitation Associates
Doing business as Delaware Back Pain & Sports Rehabilitation Centers
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 1999203833
- Legal business name
- REHABILITATION ASSOCIATES
- Doing business as
- Delaware Back Pain & Sports Rehabilitation Centers
- Practice address
- 2600 Glasgow Avenue
Suite 210
Newark, DE 19702 - Phone
- (302) 529-8783
- Fax
- (302) 529-1586
- NPI assigned
- Jun 21, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Barry Leslie Bakst, D.O.
- Title
- President/Ceo
- Phone
- (302) 529-8783
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 1999203833 | DE | Primary |
Addresses
Primary practice location
2600 Glasgow Avenue
Suite 210
Newark, DE 19702
Mailing address
2600 Glasgow Avenue
Suite 210
Newark, DE 19702
Phone (302) 529-8783
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 147504 | Medicaid | DE | |
| 26774 | Other | DE | COVENTRY |
| CC5686 | Other | DE | RAILROAD |
Other names 1
- Delaware Back Pain & Sports Rehabilitation Centers
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 08D2027808 | Delaware Back Pain & Sports Rehabilitation Centers | Certificate of waiver | Aug 1, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Delaware Back Pain Sports Rehabilitation Centers
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Delaware Back Pain & Sports Rehabilitation Centers
- Physical Medicine & Rehabilitation Physician
- Smyrna, DE
- NPI 1245552462
-
dba Delaware Back Pain & Sports Rehabilitation Centers
- Physical Medicine & Rehabilitation Physician
- Wilmington, DE
- NPI 1679509160
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Wilmington, DE
- NPI 1235154741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277078400000",
"number": "1083935340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 GLASGOW AVENUE",
"address_2": "SUITE 210",
"city": "NEWARK",
"state": "DE",
"postal_code": "19702",
"telephone_number": "302-529-8783",
"fax_number": "302-529-1586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 GLASGOW AVENUE",
"address_2": "SUITE 210",
"city": "NEWARK",
"state": "DE",
"postal_code": "19702",
"telephone_number": "302-529-8783",
"fax_number": "302-529-1586"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHABILITATION ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-21",
"last_updated": "2010-06-21",
"status": "A",
"authorized_official_last_name": "BAKST",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "LESLIE",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "302-529-8783",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "DE",
"license": "1999203833",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "147504",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "26774",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "CC5686",
"state": "DE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Delaware Back Pain & Sports Rehabilitation Centers",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newark, DE
- Regional Orthopaedic Associates PA (Delaware Orthopaedic Specialists)
- Regional Orthopaedic Associates PA (Delaware Orthopaedic Specialists)
- Regional Orthopaedic Associates PA (Delaware Orthopaedic Specialists)
- Rehab Continuum Care,LLC.
- Rehabclinics SPT Inc (NovaCare Rehabilitation)
- Rehabilitation Associates (Delaware Back Pain & Sports Rehabilitation Centers)
- Brooke Elizabeth Reichenbach, PA-C
- Dante Reid, PT, DPT
- Janet Christine Reid, ANP-C
- Rosa Reid, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.