Tulsa Rehabilitation Hospital, LLC
Organization Active NPI Rehabilitation Hospital · Tulsa, OK
NPI 1083358675 · NPPES record last updated Oct 30, 2024
Key facts
- NPI
- 1083358675
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Hospital 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
- Organization subpart
- No
Authorized official
- Name
- Tracey Nixon
- Title
- Chief Compliance Officer
- Phone
- (469) 640-6503
Owners & managing parties with NPI records 6
Member of 1
Facilities with the same owner 30
Practitioners 1
Affiliated clinicians 2
-
Farshid A Zandi, M.D
Medicare Care Compare: Inpatient rehabilitation facility
- Listed as
- Tulsa Rehabilitation Hospital LLC
- Ownership
- For profit
- Certified
- Oct 18, 2022
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2266458 | Tulsa Rehabilitation Hospital, LLC | Certificate of waiver | Aug 9, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
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
- LLC · Proprietary
- Incorporated
- Dec 23, 2020 in TX
- Enrollment address
- 7909 S 101St East Ave
Tulsa, OK 74133-4518 - Hospital subgroups
- Rehabilitation
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| Kennor Cross Opco |
5% Or Greater Indirect Ownership Interest | Jul 28, 2025 | 25.29% |
| Tracey Nixon |
Corporate Officer |
Jun 3, 2022 | |
| Saint Francis Health System Inc |
5% Or Greater Indirect Ownership Interest | Jun 3, 2023 | 51% |
| Dawn D Watts |
W-2 Managing Employee |
Jun 23, 2025 | |
| Nobis Rehabilitation Holdings, LLC |
5% Or Greater Indirect Ownership Interest | Jul 28, 2025 | 49% |
| Nobis Rehabilitation Partners, LLC |
Operational/Managerial Control | Jun 3, 2023 | 100% |
| Nobis Hospital Investments, LLC |
5% Or Greater Indirect Ownership Interest | Jul 28, 2025 | 49% |
| Karen Macy Schepis |
Corporate Officer |
May 24, 2022 | |
| Margie Crawley |
Corporate Director |
Aug 1, 2021 | |
| NKD Rehab, LLC |
5% Or Greater Direct Ownership Interest | Jun 3, 2023 | 49% |
| Saint Francis Hospital, Inc. |
5% Or Greater Direct Ownership Interest | Jun 3, 2023 | 51% |
| Chester W Crouch |
Corporate Officer | Jun 3, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220623000778 | OK | Part a Provider - Hospital | 1850770710 | Practice locations: Tulsa, OK |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | CMS HIH |
Other providers in Tulsa, OK
- Tulsa Psychotherapy Collective
- Tulsa PT Consultants, LLC
- Tulsa Pulmonary and Allergy Consultants Inc
- Tulsa Radiology and Imaging Center LLC
- Tulsa Radiology Associates Inc
- Tulsa Restorative Dentistry PLLC
- Tulsa Retina Consultants PLLC
- Tulsa Rheumatology Clinic LLC
- Tulsa Saffa LLC
- Tulsa Specialty Hospital LLC
All providers in Tulsa, OK · Rehabilitation Hospital in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.