{"npi":"1023093812","type":"NPI-1","status":"active","name":{"display":"Rebecca Baczuk MD","other":[],"first":"REBECCA","last":"BACZUK","middle":"LYNNE","credential":"MD"},"specialty":{"primary_taxonomy":"208100000X","primary_taxonomy_description":"Physical Medicine & Rehabilitation","slug":"physical-medicine-rehabilitation","schema_org_specialty":"Musculoskeletal","all":[{"code":"208100000X","description":"Physical Medicine & Rehabilitation","primary":false,"state":"VA","license":"0101236813"},{"code":"208100000X","description":"Physical Medicine & Rehabilitation","primary":true,"state":"FL","license":"ME153039"}]},"addresses":[{"purpose":"LOCATION","street_1":"200 N LAKEMONT AVE","city":"WINTER PARK","state":"FL","postal_code":"327923273","country_code":"US","phone":"4073031332","fax":"4073030347"},{"purpose":"MAILING","street_1":"2388 BAYS EDGE AVE","city":"VIRGINIA BEACH","state":"VA","postal_code":"23451","country_code":"US","phone":"4109914647","fax":"4434587224"}],"license":{"state":"FL","number":"ME153039"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"113813700","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20130306000139","type_code":"14-25","type_desc":"PRACTITIONER - PHYSICAL MEDICINE AND REHABILITATION","state":"MD","pac_id":"6709031321"},{"enrlmt_id":"I20161122001711","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"DC","pac_id":"6709031321"},{"enrlmt_id":"I20201209001064","type_code":"14-25","type_desc":"PRACTITIONER - PHYSICAL MEDICINE AND REHABILITATION","state":"VA","pac_id":"6709031321"},{"enrlmt_id":"I20220321002011","type_code":"14-25","type_desc":"PRACTITIONER - PHYSICAL MEDICINE AND REHABILITATION","state":"FL","pac_id":"6709031321"}]},"enumeration_date":"2005-12-14","last_updated":"2024-02-29","_meta":{"source":"NPPES","snapshot_date":"2024-02-29","doc_url":"https://findmynpi.com/api"}}