Organization Active NPI

Weatherford Rehabilitation Hospital, LLC

Doing business as ClearSky Rehabilitation Hospital of Weatherford

  • Rehabilitation Hospital
  • Weatherford, TX
National Provider Identifier
1558758490
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
WEATHERFORD REHABILITATION HOSPITAL, LLC
Doing business as
ClearSky Rehabilitation Hospital of Weatherford
Practice address
703 Eureka St
Weatherford, TX 76086-6547
Phone
(214) 472-4101
Fax
(214) 472-4106
NPI assigned
Apr 17, 2015
Last updated
Sep 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Kristi Duncan
Title
Cfo
Phone
(505) 317-3802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X NU Primary

Addresses

Primary practice location

703 Eureka St
Weatherford, TX 76086-6547

Mailing address

5600 Wyoming Blvd NE Ste 225
Albuquerque, NM 87109-3136
Phone (505) 317-3802

Other names 1

  • ClearSky Rehabilitation Hospital of Weatherford Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150709001053 TX Part A Provider - Hospital 1254643943 Practice locations: Weatherford, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1558758490. Details of each certification follow.

Hospital certification: CCN 673062

Legal name
WEATHERFORD REHABILITATION HOSPITAL, LLC
Doing business as
CLEARSKY REHABILITATION HOSPITAL OF WEATHERFORD
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Dec 10, 2015
Last certification
Mar 26, 2025
Beds
26
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
703 Eureka St
Weatherford, TX 76086-6547
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Clearsky Rehabilitation Hospital of WeatherfordCCN 673062 · All quality measures
Ownership
For profit
Certified
Dec 10, 2015
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
45D2094930Weatherford Rehabilitation Hospital, LLC703 Eureka Street, Weatherford, TX 76086Certificate of waiverApr 26, 2027

National Provider Directory

National Provider Directory

Locations

3001 Dallas Pkwy
Ste 530
Frisco, TX 75034

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
BW Clearsky Aiv IV C Corp Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Nov 17, 2023 9.45%
BW Clearsky Aiv IV Indirect Feeder LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Nov 17, 2023 9.45%
Aaron Lopez Individual W-2 Managing EmployeeCeo Nov 16, 2020
BW Aiv IV Direct Feeder LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Nov 17, 2023 35.21%
Peloton Clearsky Inc Organization, Greenwich, CT Corporation, For-profit 5% Or Greater Indirect Ownership Interest Nov 17, 2023 44.66%
Kristi L Duncan Individual Corporate OfficerCfo Apr 8, 2019
Peloton Clearsky LLC Organization, Greenwich, CT LLC, For-profit 5% Or Greater Indirect Ownership Interest Nov 17, 2023 22.33%
Peloton Equity II LP Organization, Greenwich, CT For-profit 5% Or Greater Indirect Ownership Interest Nov 17, 2023 22.33%
Claude Darby Brockette Individual Corporate OfficerCeo Apr 8, 2019
Sheryl H Gentile Individual Corporate Officer Aug 14, 2020
Clearsky Health Acquisition LLC Organization, Albuquerque, NM LLC, For-profit 5% Or Greater Direct Ownership Interest Apr 18, 2019 100%
Operational/Managerial Control Apr 18, 2019
Leavitt Equity Partners II LP Organization, Salt Lake City, UT For-profit 5% Or Greater Indirect Ownership Interest Nov 17, 2023 5.95%
Michael J Warrington Individual Corporate OfficerPresident Dec 2, 2024
Clearsky Health Intermediate LLC Organization, Albuquerque, NM LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 18, 2019 100%
Clearsky Employee Holdings-a, LLC Organization, New York, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Nov 17, 2023 4.74%
Clearsky Health Holdings LLC Organization, Albuquerque, NM LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 18, 2019 100%
Theodore B Lundberg Individual Corporate OfficerVice President Apr 8, 2019
Jeremy Michael Kogler Individual Corporate OfficerVice President Apr 8, 2019
BW Clearsky Aiv IV LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Nov 17, 2023 44.66%

Facilities with the same owner 13

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

View all 13

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 2

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": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1558758490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 WYOMING BLVD NE STE 225",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093136",
            "telephone_number": "505-317-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 EUREKA ST",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866547",
            "telephone_number": "214-472-4101",
            "fax_number": "214-472-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEATHERFORD REHABILITATION HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "505-317-3802"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ClearSky Rehabilitation Hospital of Weatherford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weatherford, TX

Sources for this page

Verify at the official NPI Registry.