Texas Rehabilitation Hospital of Fort Worth, LLC

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

Legal business name

TEXAS REHABILITATION HOSPITAL OF FORT WORTH, LLC

Practice address

425 Alabama Ave
Fort Worth, TX 76104-1022

Phone

(817) 820-3400

Fax

(817) 820-3470

NPI assigned

Sep 2, 2010

Organization subpart

No

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

Authorized official

Name

Jacob Daggett

Title

Ceo

Phone

(817) 320-6033

Specialties & licenses 1

Addresses

Other names 1

• Texas Rehabilitation Hospital Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospital certification: CCN 673048

Legal name

TEXAS REHABILITATION HOSPITAL OF FORT WORTH, LLC

Doing business as

TEXAS REHABILITATION HOSPITAL OF FORT WORTH

Certification status

Active

Provider type (POS)

Hospital – Rehabilitation

Participating since

Jun 9, 2011

Last certification

Dec 27, 2022

Beds

66

Ownership / control type

Private (for profit)

Organization structure

LLCProprietary

Incorporated

Aug 18, 2009 in TX

Enrollment address

425 Alabama Ave
Texas Rehabilitation Hospital of Fort Worth
Fort Worth, TX 76104-1022
Other Hospital Practice Location

Hospital subgroups

Rehabilitation

Listed as

Texas Rehabilitation HospitalCCN 673048

Ownership

For profit

Certified

Jun 9, 2011

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Texas Health Harris Methodist Hospital Fort Worth

  • Community/Retail Pharmacy
  • Fort Worth, TX
  • NPI 1477376119

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Everest Rehabilitation Hospital Keller, LLC

  • Rehabilitation Hospital
  • Keller, TX
  • NPI 1033759832

  Member Of

  NPD member

All disclosed owners & managing parties 17

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

Owners & managing parties with NPI records 2

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

• Texas Health Harris Methodist Hospital Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1336172105

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Texas Health Harris Methodist Hospital Fort Worth

  • Community/Retail Pharmacy
  • Fort Worth, TX
  • NPI 1477376119

  5% Or Greater Direct Ownership Interest

  CMS ownership

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Everest Rehabilitation Hospital Keller, LLC

  • Rehabilitation Hospital
  • Keller, TX
  • NPI 1033759832

  5% Or Greater Direct Ownership Interest

  CMS ownership

Facilities with the same owner 70

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

• Carrollton Springs, LLC

  • Psychiatric Hospital
  • Carrollton, TX
  • NPI 1134401466

  Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC

  CMS ownership
• CRH of El Paso, LLC

  • Rehabilitation Hospital
  • El Paso, TX
  • NPI 1346988516

  Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC

  CMS ownership
• CRH of Longview LLC

  • Rehabilitation Hospital
  • Longview, TX
  • NPI 1659079903

  Centerre Healthcare LLC, Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC

  CMS ownership
• CRH of San Antonio, LLC

  • Rehabilitation Hospital
  • San Antonio, TX
  • NPI 1205567179

  Centerre Healthcare LLC, Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC

  CMS ownership
• CRH of Temple LLC

  • Rehabilitation Hospital
  • Temple, TX
  • NPI 1639877988

  Centerre Healthcare LLC, Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC

  CMS ownership
• CTRH, L.L.C.

  • Rehabilitation Hospital
  • Austin, TX
  • NPI 1609091693

  Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC

  CMS ownership
• Everest Rehabilitation Hospital Keller, LLC

  • Rehabilitation Hospital
  • Keller, TX
  • NPI 1033759832

  Centerre Healthcare LLC, CRH of Fort Worth LLC, Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC, Texas Health Harris Methodist Hospital Fort Worth

  CMS ownership
• LPNT BH Acquisition 2, LLC

  • Psychiatric Hospital
  • Fort Worth, TX
  • NPI 1285258640

  Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC

  CMS ownership
• Mesa Springs, LLC

  • Psychiatric Hospital
  • Fort Worth, TX
  • NPI 1366880627

  Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC

  CMS ownership
• MHS-CHC I LP

  • Rehabilitation Hospital
  • Dallas, TX
  • NPI 1487848941

  Centerre Healthcare LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC

  CMS ownership
• Rock Springs, LLC

  • Psychiatric Hospital
  • Georgetown, TX
  • NPI 1184056954

  Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC

  CMS ownership
• Texas Rehabilitation Hospital of Arlington, LLC

  • Rehabilitation Hospital
  • Arlington, TX
  • NPI 1962809541

  Centerre Healthcare LLC, Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC

  CMS ownership

Affiliated clinicians 8

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Ade Lateef Adedokun, DO

  • Physical Medicine & Rehabilitation Physician
  • Fort Worth, TX
  • NPI 1467427054

  Inpatient rehabilitation facility

  Care Compare affiliation
• Robert Judson Balch III, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Fort Worth, TX
  • NPI 1477751774

  Inpatient rehabilitation facility

  Care Compare affiliation
• William C Bridges, MD

  • Physical Medicine & Rehabilitation Physician
  • Fort Worth, TX
  • NPI 1750344065

  Inpatient rehabilitation facility

  Care Compare affiliation
• Abdul Hafeez, MD

  • Nephrology Physician
  • Fort Worth, TX
  • NPI 1801830716

  Inpatient rehabilitation facility

  Care Compare affiliation
• Sarah Elizabeth Martin, APRN

  • Acute Care Nurse Practitioner
  • Fort Worth, TX
  • NPI 1821635814

  Inpatient rehabilitation facility

  Care Compare affiliation
• Karim Meghani, M.D.

  • Rehabilitation Practitioner
  • Fort Worth, TX
  • NPI 1184661654

  Inpatient rehabilitation facility

  Care Compare affiliation
• Dar Bharat Shah, M.D.

  • Nephrology Physician
  • Fort Worth, TX
  • NPI 1841412855

  Inpatient rehabilitation facility

  Care Compare affiliation
• Leon Tio, D.O.

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1952741795

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1659688331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ALABAMA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761041022",
            "telephone_number": "817-820-3400",
            "fax_number": "817-820-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 ALABAMA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761041022",
            "telephone_number": "817-820-3400",
            "fax_number": "817-820-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS REHABILITATION HOSPITAL OF FORT WORTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-02",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "DAGGETT",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-320-6033"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Texas Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rehabilitation Hospital in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Rehabilitation Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.