Rehabilitation Hospital, LLC
NPI 1174021695 · Rehabilitation Hospital · Tyler, TX
Enrolled with Medicare as Part a Provider - Hospital · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rehabilitation Hospital, LLC is a Rehabilitation Hospital organization in Tyler, TX (NPI 1174021695).
Provider details
- NPI number
- 1174021695
- Entity type
- Organization
- Primary specialty
- Rehabilitation HospitalHospitals
- Parent organization
- Ahs East Texas Health System LLC
- Organization subpart
- Yes
- Authorized official
- Stephen Petrovich, Evp(615) 296-3000
Specialties & taxonomies
Hospitals
- Cardiac Rehabilitation Registered Nurse163WC3500X
Nursing Service Providers
- Rehabilitation Clinic/Center261QR0400X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-01-30
- Last updated
- 2023-10-01
- Certified
- 2023-10-01
Frequently asked questions
- What is Rehabilitation Hospital, LLC's NPI number?
- Rehabilitation Hospital, LLC's National Provider Identifier (NPI) is 1174021695, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Rehabilitation Hospital, LLC?
- Rehabilitation Hospital, LLC is classified in the NPPES registry as Rehabilitation Hospital (Hospitals).
- Where is Rehabilitation Hospital, LLC located?
- Rehabilitation Hospital, LLC's practice location on file with NPPES is 701 Olympic Plaza Cir, Tyler, TX 75701-1950.
- What is Rehabilitation Hospital, LLC's phone number?
- The practice phone number listed in the NPPES registry for Rehabilitation Hospital, LLC is (903) 596-3000.
- Does Rehabilitation Hospital, LLC accept Medicare?
- Rehabilitation Hospital, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Rehabilitation Hospital, LLC?
- The authorized official listed on Rehabilitation Hospital, LLC's NPPES record is Stephen Petrovich, Evp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Rehabilitation Hospital, LLC's NPI active?
- Yes — Rehabilitation Hospital, LLC's NPI (1174021695) is active in the NPPES registry as of the last update on 2023-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.