NPIMap

Organization Active NPI

St. John Encompass Health Rehabilitation Hospital, LLC

Doing business as Ascension St. John Rehabilitation Hospital of Broken Arrow, an affiliate of Encompass Health

  • Rehabilitation Hospital
  • Broken Arrow, OK
National Provider Identifier
1073995056
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
ST. JOHN ENCOMPASS HEALTH REHABILITATION HOSPITAL, LLC
Doing business as
Ascension St. John Rehabilitation Hospital of Broken Arrow, an affiliate of Encompass Health
St. John Rehabilitation Hospital, an affiliate of Encompass Health
Practice address
1200 West Albany Drive
Broken Arrow, OK 74012
Phone
(918) 744-2338
NPI assigned
Jun 25, 2015
Last updated
Apr 22, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ENCOMPASS HEALTH CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Carey Bennett McRae
Title
Senior Vice President
Phone
(205) 970-3442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

1200 West Albany Drive
Broken Arrow, OK 74012

Mailing address

9001 Liberty Pkwy
Birmingham, AL 35242-7509
Phone (205) 967-7116

Other identifiers 2

IdentifierTypeStateIssuer
2383OtherOKSPECIALIZED HOSPITAL: REHABILITATION LICENSE
200682470AMedicaidOK

Other names 2

  • Ascension St. John Rehabilitation Hospital of Broken Arrow, an affiliate of Encompass Health Doing business as
  • St. John Rehabilitation Hospital, an affiliate of Encompass Health Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address broken_arrow.patientinfo@dsm.encompasshealth.com Health Information Exchange (HIE)
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other e-Solutions, Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151021000794 OK Part A Provider - Hospital 9830408574 Practice locations: Broken Arrow, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073995056. Details of each certification follow.

Hospital certification: CCN 373034

Legal name
ST. JOHN ENCOMPASS HEALTH REHABILITATION HOSPITAL, LLC
Doing business as
ASCENSION ST. JOHN REHABILITATION HOSPITAL OF BROKEN ARROW, AN AFFILIA
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Sep 26, 2016
Last certification
Mar 7, 2023
Beds
60
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Jun 19, 2015 in DE
Enrollment address
1200 W Albany Dr
Broken Arrow, OK 74012-8146
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Ascension St John Rehab Hospital of Broken ArrowCCN 373034 · All quality measures
Ownership
For profit
Certified
Sep 26, 2016
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
37D2100817St John Rehabilitation Hospital1200 West Albany Drive, Broken Arrow, OK 74012Certificate of waiverAug 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
St John Encompass Health Rehabilitation Hospital LLC2 organizations share this tax ID, including this one
Part of
Healthsouth Home Med Eq

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Encompass Health Corporation Organization, Birmingham, AL Corporation, Management services company, For-profit, Chain home office 5% Or Greater Indirect Ownership Interest Jun 19, 2015 51%
Operational/Managerial Control Jun 19, 2015
Carey B McRae Individual Operational/Managerial ControlSr Vice President of the Manager Jan 1, 2025
OtherSr Vice President of the Manager Jan 1, 2025
Christopher Robert Phillips Individual W-2 Managing EmployeeHospital Ceo Jun 8, 2026
St John Health Systems Inc Organization, Tulsa, OK Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jun 19, 2015 49%
Mark J Tarr Individual Operational/Managerial ControlPresident & Ceo of MGR Jan 1, 2017
Vanguard Group Inc Organization, Malvern, PA Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2023 5.15%
Encompass Health Tulsa Holdings, LLC Organization, Birmingham, AL Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 19, 2015 51%
Encompass Health Joint Ventures Holdings, LLC Organization, Birmingham, AL LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 1, 2015 51%
Robert W McCallum Individual Operational/Managerial ControlVice President of the Manager Jan 1, 2025
OtherVice President of the Manager Jan 1, 2025
Utica Services Inc Organization, Tulsa, OK Corporation, For-profit 5% Or Greater Direct Ownership Interest Oct 1, 2015 49%
Ascension Health Organization, Saint Louis, MO Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jun 19, 2015 49%
Ascension Health Alliance Organization, Saint Louis, MO Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jun 19, 2015 49%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 376

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

View all 376

Practitioners & affiliated clinicians

Practitioners 7

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.

Affiliated clinicians 6

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": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1073995056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 LIBERTY PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352427509",
            "telephone_number": "205-967-7116",
            "fax_number": "205-969-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WEST ALBANY DRIVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "74012",
            "telephone_number": "918-744-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN ENCOMPASS HEALTH REHABILITATION HOSPITAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENCOMPASS HEALTH CORPORATION",
        "enumeration_date": "2015-06-25",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "MCRAE",
        "authorized_official_first_name": "CAREY",
        "authorized_official_middle_name": "BENNETT",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "205-970-3442"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECIALIZED HOSPITAL: REHABILITATION LICENSE",
            "identifier": "2383",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200682470A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "broken_arrow.patientinfo@dsm.encompasshealth.com",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Exchange",
            "address_1": "1200 West Albany Drive",
            "city": "Broken Arrow",
            "state": "OK",
            "country_code": "US",
            "postal_code": "74012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "e-Solutions, Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CMS esMD eMDR",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ascension St. John Rehabilitation Hospital of Broken Arrow, an affiliate of Encompass Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. John Rehabilitation Hospital, an affiliate of Encompass Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Broken Arrow, OK

Sources for this page

Verify at the official NPI Registry.