Organization Active NPI

The Rehab Firm, Inc.

  • Low Vision Occupational Therapist
  • Pearland, TX
National Provider Identifier
1225569239
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Occupational TherapistTaxonomy code 225XL0004X
License
112297 Issued in TX
Legal business name
THE REHAB FIRM, INC.
Practice address
13212 Lone Creek LN
Pearland, TX 77584-3476
Phone
(713) 280-3663
Fax
(855) 710-7269
NPI assigned
Mar 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Authorized official

Name
Staci Tibbs Wilson, OTR, MOT, CHESNPI 1598163511
Title
Owner
Phone
(713) 280-3663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 112297 TX
Gerontology Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XG0600X 112297 TX
Low Vision Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XL0004X 112297 TX Primary
Neurorehabilitation Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XN1300X 112297 TX

Addresses

Primary practice location

13212 Lone Creek LN
Pearland, TX 77584-3476

Mailing address

11601 Shadow Creek Pkwy Ste 111-216
Pearland, TX 77584-7283
Phone (713) 280-3663

Other names 1

  • Staci Lynn Tibbs & Associates, Inc. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171109002057 TX Part B Supplier - Clinic/Group Practice 9234495169 Receives reassigned benefits from 1 practitioner
Practice locations: Pearland, TX

National Provider Directory

National Provider Directory

Locations

11601 Shadow Creek Pkwy
Ste 111216
Pearland, TX 77584

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1225569239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 SHADOW CREEK PKWY STE 111-216",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847283",
            "telephone_number": "713-280-3663",
            "fax_number": "855-710-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13212 LONE CREEK LN",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843476",
            "telephone_number": "713-280-3663",
            "fax_number": "855-710-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REHAB FIRM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "STACI",
        "authorized_official_middle_name": "TIBBS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-280-3663",
        "authorized_official_credential": "OTR, MOT, CHES"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "112297",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Gerontology",
            "state": "TX",
            "license": "112297",
            "primary": false
        },
        {
            "code": "225XL0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Low Vision",
            "state": "TX",
            "license": "112297",
            "primary": true
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "TX",
            "license": "112297",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Staci Lynn Tibbs & Associates, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Staci Lynn Tibbs & Associates, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.