NPIMap

Organization Active NPI

Tampa Rehabilitation Hospital, LLC

  • Rehabilitation Hospital
  • Tampa, FL
National Provider Identifier
1346908068
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
TAMPA REHABILITATION HOSPITAL, LLC
Practice address
1307 W Kennedy Blvd
Tampa, FL 33606-1848
Phone
(813) 893-6000
Fax
(813) 893-6111
NPI assigned
Nov 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Authorized official

Name
Heather HigginsNPI 1467585919
Title
Ceo
Phone
(813) 862-8003

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

1307 W Kennedy Blvd
Tampa, FL 33606-1848

Mailing address

680 S 4TH St
Louisville, KY 40202-2407
Phone (813) 862-8003

Other names 1

  • Tampa General Rehabilitation Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220415000288 FL Part A Provider - Hospital 0042606287 Practice locations: Tampa, FL

Hospital certification: CCN 103051

Legal name
TAMPA REHABILITATION HOSPITAL, LLC
Doing business as
TAMPA GENERAL REHABILITATION HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Jun 17, 2022
Last certification
Jun 17, 2022
Beds
80
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Feb 28, 2020 in FL
Enrollment address
1307 W Kennedy Blvd
Tampa, FL 33606-1848
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Tampa General Rehabilitation HospitalCCN 103051
Ownership
For profit
Certified
Jun 17, 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
10D2254546Tampa General Rehabilitation Hospital1307 W Kennedy Blvd, Tampa, FL 33606Certificate of waiverMar 3, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Lifepoint Rehab Blocker LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2022 49%
Mark Runyon Individual Corporate DirectorBoard Member May 17, 2022
Florida Health Sciences Center Inc Organization, Tampa, FL Corporation 5% Or Greater Direct Ownership Interest May 17, 2022 51%
LPNT Irf Development 50, LLC Organization, Brentwood, TN LLC 5% Or Greater Direct Ownership Interest May 17, 2022 49%
CHC Management Services LLC Organization, Brentwood, TN LLC, Management services company Operational/Managerial Control May 17, 2022
Lifepoint Rehab LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2022 49%
Margaret M Duggan Individual Corporate DirectorBoard Member Oct 26, 2022
James E Ransom Individual Corporate DirectorBoard Member May 17, 2022
Lifepoint Health Inc Organization, Brentwood, TN Corporation 5% Or Greater Indirect Ownership Interest May 17, 2022 49%
Marcus B Poppell Individual Operational/Managerial ControlChain Home Office Administrator May 17, 2022
John D Couris Individual Corporate DirectorBoard Member May 17, 2022
Heather Higgins Individual Corporate OfficerChief Executive Officer May 17, 2022
Operational/Managerial ControlHospital Ceo May 17, 2022
Russell a Bailey Individual Corporate DirectorBoard Member May 17, 2022
Danielle Rodriguez Individual Corporate DirectorBoard Member Apr 9, 2025
Lifepoint Rehab Blocker Parent LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest May 17, 2022 49%

Owners & managing parties with NPI records 3

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

Facilities with the same owner 73

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

View all 73

Practitioners & affiliated clinicians

Practitioners 1

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

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": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1346908068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S 4TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022407",
            "telephone_number": "813-862-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 W KENNEDY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061848",
            "telephone_number": "813-893-6000",
            "fax_number": "813-893-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA REHABILITATION HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-862-8003"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tampa General Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tampa General Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.