NPIMap

Organization Active NPI

Florida Rehabilitation Hospital at Tampa, LLC

  • Rehabilitation Hospital
  • Temple Terrace, FL
National Provider Identifier
1073383311
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
FLORIDA REHABILITATION HOSPITAL AT TAMPA, LLC
Practice address
6805 Woodstork Dr
Temple Terrace, FL 33637-0951
Phone
(469) 640-6500
NPI assigned
Jan 8, 2024
Last updated
Jan 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Tracey Nixon
Title
Chief Compliance Officer
Phone
(469) 640-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X NU Primary

Addresses

Primary practice location

6805 Woodstork Dr
Temple Terrace, FL 33637-0951

Mailing address

450 Century Pkwy Ste 220
Allen, TX 75013-8135
Phone (469) 640-6500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241227002108 FL Part A Provider - Hospital 0840727152 Practice locations: Temple Terrace, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073383311. Details of each certification follow.

Hospital certification: CCN 103068

Legal name
FLORIDA REHABILITATION HOSPITAL AT TAMPA, LLC
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
May 6, 2025
Last certification
May 6, 2025
Beds
60
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
6805 Woodstork Dr
Temple Terrace, FL 33637-0951
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Florida Rehabilitation Hospital at TampaCCN 103068 · All quality measures
Ownership
For profit
Certified
May 6, 2025
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2316568Florida Rehabilitation Hospital at Tampa6805 Woodstork Rd, Temple Terrace, FL 33637Certificate of waiverJan 7, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tracey Nixon Individual Corporate OfficerChief Compliance Officer Dec 12, 2024
Nepi, LLC Organization, Grapevine, TX LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 12, 2024 6%
Daryn Eudaly Individual 5% Or Greater Indirect Ownership Interest Dec 12, 2024 45.58%
Alex Bennett Individual 5% Or Greater Indirect Ownership Interest Dec 12, 2024 8.39%
Jeffrey Harrison Individual W-2 Managing EmployeeAd; Jun 19, 2024
SPC Capital, Inc. Organization, Grapevine, TX Created for acquisition, Corporation 5% Or Greater Indirect Ownership Interest Jul 29, 2025 27.21%
Nesi, LLC Organization, Grapevine, TX LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 12, 2024 6%
Nec Rhi, LLC Organization, Grapevine, TX LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 12, 2024 27.59%
WB Development Holdings, LLC Organization, Dallas, TX LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 12, 2024 33.58%
Nobis Rehabilitation Partners, LLC Organization, Allen, TX LLC, Management services company, For-profit Operational/Managerial Control Dec 12, 2024
Newera Nobis Operations Holdings, LLC Organization, Grapevine, TX Corporation, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 12, 2024 100%
Nobis Hospital Investments, LLC Organization, Lucas, TX LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 12, 2024 6%
New Era Companies, LLC Organization, Grapevine, TX LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 29, 2025 54.42%
Ahac Investments, LLC Organization, Irving, TX LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 12, 2024 8.39%
Newera Irf Holdings, LLC Organization, Grapevine, TX LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 12, 2024 100%
Karen Macy Schepis Individual Corporate Director Dec 12, 2024
Nobis Rehabilitation Holdings, LLC Organization, Lucas, TX LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 12, 2024 6%
Margie Crawley Individual Corporate Director Dec 12, 2024
Irf JV Investors, LLC Organization, Grapevine, TX LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 12, 2024 6%

Facilities with the same owner 15

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 15

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1073383311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CENTURY PKWY STE 220",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750138135",
            "telephone_number": "469-640-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6805 WOODSTORK DR",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370951",
            "telephone_number": "469-640-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA REHABILITATION HOSPITAL AT TAMPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "NIXON",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "469-640-6500"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

Verify at the official NPI Registry.