Individual provider Active NPI

Tobi Reid Blackiston, DC

  • Chiropractor
  • Wilmington, DE
National Provider Identifier
1952335879
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7071103 Issued in NH
Practice address
5801 Kennett Pike
Wilmington, DE 19807-1123
Phone
(302) 543-4797
NPI assigned
Jul 10, 2006
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7071103 NH Primary
Chiropractor 111N00000X 2882 MA

Addresses

Primary practice location

5801 Kennett Pike
Wilmington, DE 19807-1123

Mailing address

5801 Kennett Pike
Wilmington, DE 19807-1123
Phone (302) 543-4797

Other identifiers 6

IdentifierTypeStateIssuer
05Y00553NH04OtherNHBCBS NH
664352OtherNHUNITED HEALTHCARE
3502259OtherNHAETNA
6011439OtherNHCIGNA
7741384OtherNHAETNA
AA9404OtherNHHARVARD PILGRIM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180412000708 DE Practitioner - Chiropractic 2264413574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5801 Kennett Pike
Suite a
Wilmington, DE 19807-1123
Phone (302) 543-4797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2882MAMDChiropractor
7071103NHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Degange Chiropractic Chiropractor CurrentSince Jan 11, 2021 Accepting new patients
Balance Chiropractic, LLC CurrentSince Jun 14, 2021 Accepting new patients
Manchester Spine and Rehab Chiropractor Past Accepting new patients

Locations

5801 Kennett Pike
Ste A
Wilmington, DE 19807
Phone (302) 543-4797

14 South St
Concord, NH 03301
Phone (603) 224-5551

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1952335879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 KENNETT PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198071123",
            "telephone_number": "302-543-4797",
            "fax_number": "302-543-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 KENNETT PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198071123",
            "telephone_number": "302-543-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKISTON",
        "first_name": "TOBI",
        "middle_name": "REID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "7071103",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2882",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NH",
            "identifier": "05Y00553NH04",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "664352",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3502259",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6011439",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7741384",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA9404",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.