Rehabilitation Hospital, LLC

Primary specialty

Cardiac Rehabilitation Registered NurseTaxonomy code 163WC3500X

Legal business name

REHABILITATION HOSPITAL, LLC

Practice address

701 Olympic Plaza Cir
Tyler, TX 75701-1950

Phone

(903) 596-3236

NPI assigned

Aug 5, 2019

Organization subpart

Yes

Parent organization

AHS EAST TEXAS HEALTH SYSTEM,LLCAs reported in NPPES

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

Authorized official

Name

Stephen C. Petrovich

Title

Evp General Counsel

Phone

(615) 296-3000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1467007682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BURTON HILLS BLVD STE 250",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156195",
            "telephone_number": "615-296-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 OLYMPIC PLAZA CIR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011950",
            "telephone_number": "903-596-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION HOSPITAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AHS EAST TEXAS HEALTH SYSTEM,LLC",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "PETROVICH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "EVP GENERAL COUNSEL",
        "authorized_official_telephone_number": "615-296-3000"
    },
    "taxonomies": [
        {
            "code": "163WC3500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehab Pro LP
• Rehabcare Group East Inc.
• Rehabilitation Hospital, LLC
• Hina Fatima Rehan, LPC-ASSOCIATE
• Marc Reimers, FNP-C
• Michael Reiser, CRNA
• Margaret R Reitmeyer, MD
• Reliant Medical LLC

• Cardiac Rehabilitation Registered Nurse in Tyler, TX
• Providers in Tyler, TX by specialty
• Cardiac Rehabilitation Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.