EAST TEXAS MEDICAL CENTER REHABILITATION HOSPITAL (NPI# 1700901873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700901873 |
| Entity Type | Organization |
| Organization Name | EAST TEXAS MEDICAL CENTER REHABILITATION HOSPITAL |
| Practice Address |
701 Olympic Plaza Cir Tyler TX 75701-1950 |
| Practice Telephone | 9035963258 |
| Practice Fax Number | 9035963006 |
| Mailing Telephone | 9035963258 |
| Mailing Fax Number | 9035963006 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2010-09-23 |
| Authorized Official Name | MR. EDDIE L HOWARD (VP-COO) |
| Authorized Official Telephone | 9035963258 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283X00000X | Rehabilitation Hospital | 000799 | TX | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 021177301 | 05 |
| Street Address |
701 OLYMPIC PLAZA CIR |
| City | TYLER |
| State | TX |
| Zip Code | 75701-1950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841232964 | Virgilio V Gonzalez | Pathology | 701 Olympic Plaza Cir, Tyler, TX 75701-1950 | 2006-06-12 |
| 1356977847 | Tammy Mallard | Occupational Therapy Assistant | 701 Olympic Plaza Cir, Tyler, TX 75701-1950 | 2020-03-17 |
| 1255967642 | Stacy Betts Dickerson | Speech-Language Pathologist | 701 Olympic Plaza Cir, Tyler, TX 75701-1950 | 2020-03-17 |
| 1053947440 | Joseph Clinton Staples | Occupational Therapist | 701 Olympic Plaza Cir, Tyler, TX 75701-1950 | 2020-03-17 |
| 1942836341 | Lynn Allison Henry | Physical Therapist | 701 Olympic Plaza Cir, Tyler, TX 75701-1950 | 2020-03-17 |
| 1942836366 | Sheila Diaz | Physical Therapist | 701 Olympic Plaza Cir, Tyler, TX 75701-1950 | 2020-03-17 |
| 1023644614 | Mark Roland Saczek | Physical Therapist | 701 Olympic Plaza Cir, Tyler, TX 75701-1950 | 2020-03-16 |
| 1578199162 | Kathy E Kizer | Physical Therapist | 701 Olympic Plaza Cir, Tyler, TX 75701-1950 | 2020-03-16 |
| 1003442773 | Vicki Lynne Walter | Physical Therapy Assistant | 701 Olympic Plaza Cir, Tyler, TX 75701-1950 | 2020-03-13 |
| 1336775014 | Katherine Sue Henke | Physical Medicine & Rehabilitation | 701 Olympic Plaza Cir, Tyler, TX 75701-1950 | 2020-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 283X00000X |
| Grouping | Hospitals |
| Classification | Rehabilitation Hospital |
| A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
| Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316911068 | Tyler Rehab Associates Lp | Rehabilitation Hospital | 3131 Troup Hwy, Tyler, TX 75701 | 2006-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033759832 | Everest Rehabilitation Hospital Keller, LLC | Rehabilitation Hospital | 955 S. Main St., Keller, TX 76248 | 2020-01-09 |
| 1053966176 | Cobalt Rehabilitation Hospital Louisville LLC | Rehabilitation Hospital | 917 Ashland St Fl 4, Houston, TX 77008-6733 | 2019-08-06 |
| 1881252203 | Encompass Health Rehabilitation Hospital of Katy, LLC | Rehabilitation Hospital | 23331 Grand Reserve Drive, Katy, TX 77494 | 2019-05-31 |
| 1154893675 | South Plains Rehabilitation Hospital, LLC | Rehabilitation Hospital | 5406 Colgate Street, Lubbock, TX 79416 | 2018-12-21 |
| 1518439009 | Everest Rehabilitation Hospital Longview, LLC | Rehabilitation Hospital | 701 E Loop 281, Longview, TX 75605-5006 | 2018-12-20 |
| 1346747565 | Bir Jv LLP | Rehabilitation Hospital | 5001 S Cooper St Ste 109, Arlington, TX 76017-8604 | 2018-04-13 |
| 1619476926 | Apollo Rehab Hospital LLC | Rehabilitation Hospital | 7622 Branford Place, Sugarland, TX 77479 | 2018-02-02 |
| 1053839233 | Cobalt Rehabilitation Hospital El Paso | Rehabilitation Hospital | 1600 E Cliff Dr, El Paso, TX 79902-5130 | 2017-09-07 |
| 1144756578 | Encompass Health Rehabilitation Hospital of Pearland, LLC | Rehabilitation Hospital | 2121 Business Center Drive, Pearland, TX 77584 | 2017-05-04 |
| 1003340639 | Post Acute Medical Rehabilitation Hospital of Corpus Christi, LLC | Rehabilitation Hospital | 345 S. Water St., Corpus Christi, TX 78401 | 2017-04-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.