NPI age
6 years
Enumerated 2019-08-05
● Active Type 2 · Organization
Subpart
Rehabilitation Hospital, Llc
Rehabilitation Hospital, Llc is 1 of 13 registered nurse organizations in Texas.
Primary specialty
Registered Nurse
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Petrovich
Evp General Counsel
Last NPPES update
2019-08-05
Source: monthly bulk 2026-05
How this organization compares
Across 13 active registered nurse providers in Texas.
NPI age
6 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2019 → 2026
2019-08Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
701 Olympic Plaza Cir
Tyler, TX 757011950
Mailing address
1 Burton Hills Blvd Ste 250
Nashville, TN 372156195
Authorized official
Stephen C. Petrovich
Evp General Counsel
📞 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
-
Registered Nurse PrimaryDefinition 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 →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.