NPIMap

Organization Active NPI

Orlando Rehabilitation Hospital, LLC

  • Rehabilitation Hospital
  • Altamonte Springs, FL
National Provider Identifier
1194419176
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
ORLANDO REHABILITATION HOSPITAL, LLC
Practice address
980 Gateway Dr
Altamonte Springs, FL 32714-4807
Phone
(469) 640-6503
NPI assigned
Jun 5, 2023
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

980 Gateway Dr
Altamonte Springs, FL 32714-4807

Mailing address

980 Gateway Dr
Altamonte Springs, FL 32714-4807
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 FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240418001838 FL Part A Provider - Hospital 9133568553 Practice locations: Altamonte Springs, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194419176. Details of each certification follow.

Hospital certification: CCN 103065

Legal name
ORLANDO REHABILITATION HOSPITAL, LLC
Doing business as
NOBIS REHABILITATION PARTNERS, LLC
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Aug 3, 2024
Last certification
Aug 3, 2024
Beds
60
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Jun 4, 2021 in DE
Enrollment address
980 Gateway Dr
Altamonte Springs, FL 32714-4807
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Orlando Rehabilitation HospitalCCN 103065 · All quality measures
Ownership
For profit
Certified
Aug 3, 2024
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
10D2299950Orlando Rehabilitation Hospital, LLC980 Gateway Drive, Altamonte Springs, FL 32714Certificate of waiverFeb 28, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 21

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 Officer Feb 25, 2024
Nepi, LLC Organization, Grapevine, TX LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 25, 2024 6%
Daryn Eudaly Individual 5% Or Greater Indirect Ownership Interest Feb 25, 2024 22.79%
Alex Bennett Individual 5% Or Greater Indirect Ownership Interest Feb 25, 2024 8.39%
Nesi, LLC Organization, Grapevine, TX LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 25, 2024 6%
SPC Capital, Inc. Organization, Grapevine, TX Corporation 5% Or Greater Indirect Ownership Interest Jul 28, 2025 27.21%
New Era Companies, LLC Organization, Grapevine, TX LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 25, 2024 54.42%
Nec Rhi, LLC Organization, Grapevine, TX LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 25, 2024 27.59%
WB Development Holdings, LLC Organization, Dallas, TX LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 25, 2024 33.58%
Nobis Rehabilitation Partners, LLC Organization, Allen, TX LLC Operational/Managerial Control Feb 25, 2024
Lisa Kloc Individual W-2 Managing EmployeeChief Executive Officer Feb 25, 2024
Newera Nobis Operations Holdings, LLC Organization, Grapevine, TX LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 25, 2024 100%
Timothy Lavender Individual 5% Or Greater Indirect Ownership Interest Feb 25, 2024 22.79%
Nobis Hospital Investments, LLC Organization, Lucas, TX LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 25, 2024 6%
Gina Wilson Individual 5% Or Greater Indirect Ownership Interest Feb 25, 2024 25.18%
Ahac Investments, LLC Organization, Irving, TX LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 25, 2024 8.39%
Newera Irf Holdings, LLC Organization, Grapevine, TX LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 25, 2024 100%
Karen Macy Schepis Individual Corporate DirectorCorporate Director of Compliance Feb 27, 2024
Jerry Huggler Individual Corporate OfficerChief Financial Officer Feb 25, 2024
Nobis Rehabilitation Holdings, LLC Organization, Lucas, TX LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 25, 2024 6%
Margie Crawley Individual Corporate DirectorCorporate Director Revenue Cycle Feb 27, 2024

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 7

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": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1194419176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 GATEWAY DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327144807",
            "telephone_number": "469-640-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 GATEWAY DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327144807",
            "telephone_number": "469-640-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO REHABILITATION HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "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 Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.