NPI age
8 years
Enumerated 2018-01-30
● Active Type 2 · Organization
Subpart
Rehabilitation Hospital, Llc
Rehabilitation Hospital, Llc is 1 of 158 rehabilitation hospital organizations in Texas.
Primary specialty
Rehabilitation Hospital
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Petrovich
Evp
Last NPPES update
2023-10-01
Source: monthly bulk 2026-05
How this organization compares
Across 158 active rehabilitation hospital providers in Texas.
NPI age
8 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 13% of peers with subspecialties
NPI lifetime · 2018 → 2026
2018-01Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
701 Olympic Plaza Cir
Tyler, TX 757011950
Mailing address
340 Seven Springs Way Ste 100
Brentwood, TN 370275697
Authorized official
Stephen C Petrovich
Evp
📞 6152963000
Individual providers at this organization
19 individual providers on file at this primary practice address.
- Sheila Diaz Physical Therapist NPI 1942836366
- Stacy Dickerson, M.S., CCC-SLP Speech-Language Pathologist NPI 1255967642
- Barry Frizzell, LAT, ATC, PTA, CSCS Specialist/Technologist NPI 1497208656
- John Gaddis Clinical Exercise Physiologist NPI 1508141029
- Stephanie Gage, PTA Physical Therapy Assistant NPI 1346876026
- Katherine Henke, PT, DPT Physical Medicine & Rehabilitation NPI 1336775014
- Lynn Henry, PT Physical Therapist NPI 1942836341
- Sarah Hostas, OTR Occupational Therapist NPI 1245048917
- Marshall Jelden, ATC, LAT Specialist/Technologist NPI 1013508001
- Brian Kelly Physical Therapist NPI 1538897095
- Kathy Kizer, PT Physical Therapist NPI 1578199162
- Jasamine Kola-Korolo, N.P. Nurse Practitioner NPI 1245015353
- Timothy Lyke, P.T. Physical Therapist NPI 1033271267
- Tammy Mallard, C.O.T.A Occupational Therapy Assistant NPI 1356977847
- Edwin Robertson, PHD Clinical Neuropsychologist NPI 1649200700
- Mark Saczek, PT Physical Therapist NPI 1023644614
- Joseph Staples, OT Occupational Therapist NPI 1053947440
- Vicki Walter, PTA Physical Therapy Assistant NPI 1003442773
- Megan Wilkins, CCC-SLP Speech-Language Pathologist NPI 1952876062
Specialties
-
Rehabilitation Hospital PrimaryA hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.
-
Clinic/CenterDefinition to come...
-
Registered NurseDefinition to come...
Practice context
Multi-provider organization. 19 individual providers on file at this primary address.
Subpart of Ahs East Texas Health System Llc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.