MEDICARE: REHABILITATION ASSOCIATES, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician		DE

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	CC5686	OTHER	DE	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2272852000	OTHER	DE	AMERIHEATH-KEYSTONE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	5707129	OTHER	DE	AETNA PPO
4	0632730	OTHER	DE	AETNA HMO
5	386606954	OTHER	DE	BLUE CROSS/BLUE SHIELD
7	1595337	OTHER	DE	AMERIHEALTH
8	26774	OTHER	DE	COVENTRY
9	386606954CHI	OTHER	DE	BC/BS-CHIRO

General Provider Information

NPI Number	:	1679509160
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHABILITATION ASSOCIATES, P.A.

Provider Business Mailing Address
First Line	:	200 BIDDLE AVE, SPRINGSIDE
Second Line	:	SUITE 204
City	:	NEWARK
State	:	DE
Zip	:	19702-3968
Country	:	US
Telephone Number	:	302-529-8783
Fax Number	:	302-529-1586

Provider Business Practice Location Address
First Line	:	2006 FOULK RD
Second Line	:	SUITE B
City	:	WILMINGTON
State	:	DE
Zip	:	19810-3644
Country	:	US
Telephone Number	:	302-529-8783
Fax Number	:	302-529-1586

Authorized Official
Title or Position	:	CREDENTIALING SPECIALIST
Name	:	VICTORIA WOLLASTON
Credential	:
Telephone Number	:	302-529-8783

Provider Enumeration Date	:	06/25/2006
Last Update Date	:	07/21/2022

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