NPIMap

Organization Active NPI

Tulsa Rehabilitation Hospital, LLC

  • Rehabilitation Hospital
  • Tulsa, OK
National Provider Identifier
1083358675
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
TULSA REHABILITATION HOSPITAL, LLC
Practice address
7909 S. 101St Ave
Tulsa, OK 74113
Phone
(469) 640-6500
NPI assigned
Apr 21, 2022
Last updated
Oct 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 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) 640-6503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

7909 S. 101St Ave
Tulsa, OK 74113

Mailing address

450 Century Pkwy Ste 220
Allen, TX 75013-8135
Phone (469) 640-6503

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other CMS HIH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220623000778 OK Part A Provider - Hospital 1850770710 Practice locations: Tulsa, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083358675. Details of each certification follow.

Hospital certification: CCN 373037

Legal name
TULSA REHABILITATION HOSPITAL, LLC
Doing business as
NOBIS REHABILITATION PARTNERS, LLC
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Oct 18, 2022
Last certification
Sep 19, 2025
Beds
40 (15 certified)
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Dec 23, 2020 in TX
Enrollment address
7909 S 101St East Ave
Tulsa, OK 74133-4518
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Tulsa Rehabilitation Hospital LLCCCN 373037 · All quality measures
Ownership
For profit
Certified
Oct 18, 2022
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
37D2266458Tulsa Rehabilitation Hospital, LLC7909 South 101St East Ave, Tulsa, OK 74133Certificate of waiverAug 9, 2026

National Provider Directory

National Provider Directory

Member of 1

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

Locations

7909 S 101st East Ave
Tulsa, OK 74133
Phone (918) 744-2338

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
Kennor Cross Opco Organization, Carrollton, TX LLC 5% Or Greater Indirect Ownership Interest Jul 28, 2025 25.29%
Tracey Nixon Individual Corporate OfficerChief Compliance Officer Jun 3, 2022
Saint Francis Health System Inc Organization, Tulsa, OK Corporation 5% Or Greater Indirect Ownership Interest Jun 3, 2023 51%
Dawn D Watts Individual W-2 Managing EmployeeAd; Jun 23, 2025
Nobis Rehabilitation Holdings, LLC Organization, Lucas, TX LLC 5% Or Greater Indirect Ownership Interest Jul 28, 2025 49%
Nobis Rehabilitation Partners, LLC Organization, Lucas, TX LLC Operational/Managerial Control Jun 3, 2023 100%
Nobis Hospital Investments, LLC Organization, Lucas, TX LLC 5% Or Greater Indirect Ownership Interest Jul 28, 2025 49%
Karen Macy Schepis Individual Corporate OfficerCorporate Director of Compliance May 24, 2022
Margie Crawley Individual Corporate DirectorCorporate Director of Revenue Cycle Aug 1, 2021
NKD Rehab, LLC Organization, Lucas, TX LLC 5% Or Greater Direct Ownership Interest Jun 3, 2023 49%
Saint Francis Hospital, Inc. Organization, Tulsa, OK Corporation 5% Or Greater Direct Ownership Interest Jun 3, 2023 51%
Chester W Crouch Individual Corporate Officer Jun 3, 2022

Owners & managing parties with NPI records 6

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

Facilities with the same owner 30

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

View all 30

Practitioners & affiliated clinicians

Practitioners 1

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 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": "1650499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1083358675",
    "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": "469-640-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7909 S. 101ST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74113",
            "telephone_number": "469-640-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULSA REHABILITATION HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-21",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "NIXON",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "469-640-6503"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "CMS HIH",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "7500 Security Blvd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212441849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.