NPIMap

Organization Active NPI

Duval Rehabilitation LLC

Doing business as Uf Health Rehabilitation Hospital - North

  • Rehabilitation Hospital
  • Jacksonville, FL
National Provider Identifier
1669232864
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
DUVAL REHABILITATION LLC
Doing business as
Uf Health Rehabilitation Hospital - North
Practice address
15255 Max Leggett Pkwy
2ND and 3Rd Floors
Jacksonville, FL 32218-7273
Phone
(904) 456-8001
NPI assigned
Mar 22, 2024
Last updated
Sep 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
John Duggan
Title
VP
Phone
(717) 975-4503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

15255 Max Leggett Pkwy
2ND and 3Rd Floors
Jacksonville, FL 32218-7273

Mailing address

4714 Gettysburg Rd
Attn Melanie Notario
Mechanicsburg, PA 17055
Phone (717) 972-1100

Other identifiers 1

IdentifierTypeStateIssuer
103067OtherMEDICARE

Other names 1

  • UF HEALTH REHABILITATION HOSPITAL - NORTH Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240725003545 FL Part A Provider - Hospital 8325584378 Practice locations: Jacksonville, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669232864. Details of each certification follow.

Hospital certification: CCN 103067

Legal name
DUVAL REHABILITATION LLC
Doing business as
UF HEALTH REHABILITATION HOSPITAL - NORTH
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Oct 29, 2024
Last certification
Oct 29, 2024
Beds
48
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Feb 15, 2024 in DE
Enrollment address
15255 Max Leggett Pkwy
2ND and 3Rd Floors
Jacksonville, FL 32218-7273
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Uf Health Rehabilitation Hospital - JacksonvilleCCN 103067 · All quality measures
Ownership
For profit
Certified
Oct 29, 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
10D2089479Uf Health North15255 Max Leggett Pkwy, Jacksonville, FL 32218AccreditationAug 17, 2027

National Provider Directory

National Provider Directory

Member of 1

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

Locations

15255 Max Leggett Pkwy
Ste 4200
Jacksonville, FL 32218

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Hospital Holdings Corporation Organization, Mechanicsburg, PA Corporation, For-profit 5% Or Greater Direct Ownership Interest Sep 1, 2024 51%
Select Medical Corporation Organization, Mechanicsburg, PA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2024 100%
Operational/Managerial Control Sep 1, 2024 100%
Thomas Mullin Individual Corporate Officer Sep 3, 2025
Shands Jacksonville Medical Center Inc Organization, Jacksonville, FL For-profit 5% Or Greater Direct Ownership Interest Sep 1, 2024 49%
Select Specialty Hospitals, Inc. Organization, Mechanicsburg, PA Created for acquisition, Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2024 100%
Gregory Cook Brackett Individual Corporate OfficerCeo Sep 1, 2024
W-2 Managing EmployeeAd; Sep 1, 2024
Operational/Managerial ControlCeo Sep 1, 2024
John Saich Individual Corporate Officer Sep 3, 2025
Robert Breighner Individual W-2 Managing EmployeeCompliance Officer Sep 3, 2025
Michael Malatesta Individual Corporate Officer Sep 1, 2024
Robert Kido Individual Corporate Officer Sep 3, 2025
John Duggan Individual Corporate Officer Sep 1, 2024
Corporate Director Sep 3, 2025

Owners & managing parties with NPI records 5

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

Facilities with the same owner 130

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

View all 130

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1669232864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "ATTN MELANIE NOTARIO",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "17055",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15255 MAX LEGGETT PKWY",
            "address_2": "2ND AND 3RD FLOORS",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322187273",
            "telephone_number": "904-456-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUVAL REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-22",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "717-975-4503"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "103067",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UF HEALTH REHABILITATION HOSPITAL - NORTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UF HEALTH REHABILITATION HOSPITAL - NORTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.