CLARKSVILLE REHABILITATION HOSPITAL LLC
NPI 1487500773
Rehabilitation Hospital in Clarksville, IN

Active since March 09, 2026CLIA 15D2349594 · Waiver
4602 MEDICAL PLAZA WAY, CLARKSVILLE, IN 47129(469) 640-6500 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Clarksville Rehabilitation Hospital Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARKSVILLE REHABILITATION HOSPITAL LLC (NPI 1487500773) is a healthcare organization registered as a rehabilitation hospital in Clarksville, Indiana and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through August 24, 2028 and lists Tracey Nixon, Chief Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1487500773
Entity TypeOrganization
Primary Taxonomy283X00000X
Legal Business NameCLARKSVILLE REHABILITATION HOSPITAL LLC
Location Address4602 MEDICAL PLAZA WAYClarksville, IN 47129
Mailing Address450 Century Pkwy Ste 220Allen, TX 75013-8135 · (469) 640-6500
Organization SubpartNo
Authorized OfficialTracey NixonChief Compliance Officer · (469) 640-6503
Enumeration DateMarch 9, 2026
NPPES CertifiedMarch 4, 2026
✔ NPI 1487500773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation HospitalHospitals
Taxonomy Code283X00000X
Definition
A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.
4602 MEDICAL PLAZA WAY, Clarksville, IN 47129

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2349594

Clarksville Rehabilitation Hospital LLC · Clarksville, IN
Active · expires Aug 24, 2028
CLIA Number15D2349594
Laboratory TypeHospital
Certificate Effective DateAugust 25, 2026
Certificate Expiration DateAugust 24, 2028
Laboratory DirectorEmily Hogancamp
Laboratory Phone(469) 640-6503
Laboratory LocationClarksville Rehabilitation Hospital LLC4602 Medical Plaza Way, Clarksville, IN 47129
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clarksville Rehabilitation Hospital LLC's NPI number?

The NPI number for Clarksville Rehabilitation Hospital LLC is 1487500773. It was assigned to this organization in the NPPES registry on March 9, 2026.

Where is Clarksville Rehabilitation Hospital LLC located?

Clarksville Rehabilitation Hospital LLC is located at 4602 Medical Plaza Way, Clarksville, IN 47129. The listed phone number is (469) 640-6500.

What is Clarksville Rehabilitation Hospital LLC's specialty?

The primary specialty registered for this NPI is Rehabilitation Hospital with taxonomy code 283X00000X.

Does Clarksville Rehabilitation Hospital LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2349594) is associated with this NPI, valid through August 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clarksville Rehabilitation Hospital LLC was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.