Active NPI
Exalt Health Rehabilitation Hospital Wildwood LLC
- Rehabilitation Hospital
- Wildwood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital
- Legal business name
- EXALT HEALTH REHABILITATION HOSPITAL WILDWOOD LLC
- Practice address
- 4756 County Road 44a
Wildwood, FL 34785-7925 - Phone
- (214) 213-8372
- NPI assigned
- Feb 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chad Deardorff
- Title
- Cfo
- Phone
- (214) 213-8372
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | Primary |
Addresses
Primary practice location
4756 County Road 44a
Wildwood, FL 34785-7925
Mailing address
2306 Guthrie Rd Ste 180
Garland, TX 75043-5952
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250617002212 | FL | Part A Provider - Hospital | 5597276428 | Practice locations: Wildwood, FL |
Hospital certification: CCN 103074
- Legal name
- EXALT HEALTH REHABILITATION HOSPITAL WILDWOOD LLC
- Doing business as
- EXALT HEALTH REHABILITATION HOSPITAL WILDWOOD
- Certification status
- Active
- Provider type (POS)
- Hospital – Rehabilitation
- Participating since
- Mar 23, 2026
- Last certification
- Mar 23, 2026
- Beds
- 40
- Ownership / control type
- Private (for profit)
- Organization structure
- LLC
- Enrollment address
- 4756 Country Road 44a
Wildwood, FL 34785-7925 - Hospital subgroups
- Rehabilitation
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2331839 | Exalt Health Rehabilitation Hospital Wildwood LLC | Certificate of waiver | Oct 8, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 7
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Chad Deardorff | Corporate Officer | Feb 9, 2023 | |
| Corporate Director | Feb 9, 2023 | ||
| Exalt Health Opco Midco, LLC | 5% Or Greater Indirect Ownership Interest | Feb 9, 2023 | 100% |
| Exalt Health Opco, LLC | 5% Or Greater Direct Ownership Interest | Feb 9, 2023 | 100% |
| Exalt Health Opco Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Feb 9, 2023 | 100% |
| Robert R Lafleur | W-2 Managing Employee | May 4, 2026 | |
| Kenneth McGee | Corporate Officer | Feb 9, 2023 | |
| Corporate Director | Feb 9, 2023 | ||
| Jeff Crawford | Corporate Officer | Feb 9, 2023 | |
| Corporate Director | Feb 9, 2023 | ||
| W-2 Managing Employee | Feb 9, 2023 |
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Rehabilitation Hospital
- Auburndale, FL
- NPI 1053289025
Exalt Health Opco Holdings, LLC, Exalt Health Opco Midco, LLC, Exalt Health Opco, LLC
-
- Rehabilitation Hospital
- Conroe, TX
- NPI 1477304632
Exalt Health Opco Holdings, LLC, Exalt Health Opco Midco, LLC, Exalt Health Opco, LLC
-
- Rehabilitation Hospital
- Scottsdale, AZ
- NPI 1376394387
Exalt Health Opco Holdings, LLC, Exalt Health Opco Midco, LLC, Exalt Health Opco, LLC
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Lady Lake, FL
- NPI 1619364999
Inpatient rehabilitation facility
-
- Internal Medicine Physician
- Oxford, FL
- NPI 1073601944
Inpatient rehabilitation facility
-
- Family Medicine Physician
- Lake Mary, FL
- NPI 1568853844
Inpatient rehabilitation facility
-
- Physical Medicine & Rehabilitation Physician
- New Hartford, NY
- NPI 1841235371
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739750400000",
"number": "1669277307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2306 GUTHRIE RD STE 180",
"city": "GARLAND",
"state": "TX",
"postal_code": "750435952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4756 COUNTY ROAD 44A",
"city": "WILDWOOD",
"state": "FL",
"postal_code": "347857925",
"telephone_number": "214-213-8372"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXALT HEALTH REHABILITATION HOSPITAL WILDWOOD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-17",
"last_updated": "2025-02-17",
"certification_date": "2025-02-17",
"status": "A",
"authorized_official_last_name": "DEARDORFF",
"authorized_official_first_name": "CHAD",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "214-213-8372"
},
"taxonomies": [
{
"code": "283X00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wildwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.