NPIMap

Organization Active NPI

Exalt Health Rehabilitation Hospital Scottsdale LLC

Doing business as Exalt Health Rehabilitation Hospital Scottsdale

  • Rehabilitation Hospital
  • Scottsdale, AZ
National Provider Identifier
1376394387
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
EXALT HEALTH REHABILITATION HOSPITAL SCOTTSDALE LLC
Doing business as
Exalt Health Rehabilitation Hospital Scottsdale
Practice address
20159 North Scottsdale
Scottsdale, AZ 85255
Phone
(972) 414-6062
NPI assigned
Mar 28, 2024
Last updated
Mar 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Chad Deardorff
Title
Cfo
Phone
(972) 414-6062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

20159 North Scottsdale
Scottsdale, AZ 85255

Mailing address

2306 Guthrie Rd
Garland, TX 75043-5961

Other names 1

  • Exalt Health Rehabilitation Hospital Scottsdale Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240906001864 AZ Part A Provider - Hospital 3476093329 Practice locations: Scottsdale, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376394387. Details of each certification follow.

Hospital certification: CCN 033047

Legal name
EXALT HEALTH REHABILITATION HOSPITAL SCOTTSDALE, LLC
Doing business as
EXALT HEALTH REHABILITATION HOSPITAL SCOTTSDALE
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Dec 19, 2024
Last certification
Dec 19, 2024
Beds
48
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
20159 North Scottsdale Road
Scottsdale, AZ 85255-6808
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Exalt Health Rehabilitation Hospital ScottsdaleCCN 033047 · All quality measures
Ownership
For profit
Certified
Dec 19, 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
03D2308039Exalt Health Rehabilitation Hospital20159 N Scottsdale Rd, Scottsdale, AZ 85255Certificate of waiverJul 18, 2028

National Provider Directory

National Provider Directory

Locations

2306 Guthrie Rd
Garland, TX 75043

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Chad Deardorff Individual Corporate OfficerChief Financial Officer Nov 22, 2022
Corporate DirectorChief Financial Officer Nov 22, 2022
Eric Hendrickson Individual W-2 Managing EmployeeDirector Revenue Cycle Nov 22, 2022
Exalt Health Opco Midco, LLC Organization, Garland, TX LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 22, 2022 100%
Exalt Health Opco, LLC Organization, Garland, TX LLC, Chain home office, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 22, 2022 100%
Kevin Woodbury Individual W-2 Managing EmployeeAd; Aug 11, 2025
Exalt Health Opco Holdings, LLC Organization, Garland, TX LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 22, 2022 100%
Kenneth McGee Individual Corporate OfficerChief Executive Officer Nov 22, 2022
Corporate DirectorChief Executive Officer Nov 22, 2022
Jeff Crawford Individual Corporate OfficerChief Development Officer Nov 10, 2022
Corporate DirectorChief Development Officer Nov 10, 2022

Facilities with the same owner 3

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

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 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": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1376394387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 GUTHRIE RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750435961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20159 NORTH SCOTTSDALE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85255",
            "telephone_number": "972-414-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXALT HEALTH REHABILITATION HOSPITAL SCOTTSDALE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "DEARDORFF",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "972-414-6062"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Exalt Health Rehabilitation Hospital Scottsdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.