Rebirth Advanced Healing LLC
NPI 1174390413 · Specialist · Johnson City, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rebirth Advanced Healing LLC is a Specialist organization in Johnson City, TN (NPI 1174390413).
Provider details
- NPI number
- 1174390413
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Aaron Stapleton, Owner(865) 323-2500
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2023-12-06
- Last updated
- 2024-08-16
- Certified
- 2024-08-16
Frequently asked questions
- What is Rebirth Advanced Healing LLC's NPI number?
- Rebirth Advanced Healing LLC's National Provider Identifier (NPI) is 1174390413, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Rebirth Advanced Healing LLC?
- Rebirth Advanced Healing LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Rebirth Advanced Healing LLC located?
- Rebirth Advanced Healing LLC's practice location on file with NPPES is 207 E Main St Ste 3a2, Johnson City, TN 37604-5749.
- What is Rebirth Advanced Healing LLC's phone number?
- The practice phone number listed in the NPPES registry for Rebirth Advanced Healing LLC is (833) 870-0904.
- Does Rebirth Advanced Healing LLC accept Medicare?
- Rebirth Advanced Healing 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 Rebirth Advanced Healing LLC?
- The authorized official listed on Rebirth Advanced Healing LLC's NPPES record is Aaron Stapleton, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Rebirth Advanced Healing LLC's NPI active?
- Yes — Rebirth Advanced Healing LLC's NPI (1174390413) is active in the NPPES registry as of the last update on 2024-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.