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EAST REHABILITATION PA
NPI 1558322859
Physical Medicine & Rehabilitation - Pain Medicine in Addison, TX

Active since March 28, 2006CLIA 45D2008572 · Waiver
16633 DALLAS PKWY STE 150, ADDISON, TX 75001(972) 380-0000(972) 380-0030 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 3, 2017 (3 updates tracked since 2017).

About East Rehabilitation Pa NPPES

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

EAST REHABILITATION PA (NPI 1558322859) is a healthcare organization registered as a pain medicine in Addison, Texas and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through February 5, 2028, maintains 2 additional practice locations, and lists John W East, President, as its authorized official.

NPPES Registry Identity

NPI1558322859
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameEAST REHABILITATION PA
Location Address16633 DALLAS PKWY STE 150Addison, TX 75001-6812
Mailing Address16633 Dallas Pkwy Ste 150Addison, TX 75001-6812 · (972) 380-0000 · Fax (972) 380-0030
Phone(972) 380-0000
Fax(972) 380-0030
Organization SubpartNo
Authorized OfficialJohn W EastPresident · (972) 380-0000
Enumeration DateMarch 28, 2006
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1558322859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Also ListedChiropractorTaxonomy 111N00000X
Also ListedFamily MedicineTaxonomy 207Q00000X · License M1138 (TX)
Also ListedInternal MedicineTaxonomy 207R00000X · License P8718 (TX)
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
16633 DALLAS PKWY STE 150, Addison, TX 75001
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1670 N MacArthur BlvdCoppell, TX 75019-2733 · Phone (972) 745-4446 · Fax (972) 745-2597
Location 29239 Vista WayBenbrook, TX 76126-2451 · Phone (817) 737-3331 · Fax (817) 737-2333

Other Identifiers 1

Medicaid154668101TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health.Insurance ›

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 45D2008572

East Rehabilitation, PA · Addison, TX
Active · expires Feb 5, 2028
CLIA Number45D2008572
Laboratory TypePhysician Office
Certificate Effective DateFebruary 6, 2026
Certificate Expiration DateFebruary 5, 2028
Laboratory DirectorJohnny W. East
Laboratory Phone(972) 380-0000
Laboratory LocationEast Rehabilitation, PA16633 Dallas Pkwy #150, Addison, TX 75001
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SYLVIA FLORES-BUGARIN FNP-C, DC
Nurse Practitioner (Family)
16633 DALLAS PKWY STE 150
ADDISON, TX 75001
Dallas County (972) 380-0000
AARON REIFSCHNEIDER CNIM
Specialist/Technologist, Other (Electroneurodiagnostic)
16633 DALLAS PKWY STE 150
ADDISON, TX 75001
Dallas County (972) 380-0000
TIFFANY C. HARTMAN PA
Physician Assistant
16633 DALLAS PKWY STE 150
ADDISON, TX 75001
Dallas County (972) 380-0030
HAVENCREST ANESTHESIA PLLC
Nurse Anesthetist, Certified Registered
16633 DALLAS PKWY STE 150
ADDISON, TX 75001
Dallas County (214) 390-7697
BRIARGROVE ANESTHESIA PLLC
Nurse Anesthetist, Certified Registered
16633 DALLAS PKWY STE 150
ADDISON, TX 75001
Dallas County (214) 490-0988
CRANE POMONA ANESTHESIA PLLC
Anesthesiology
16633 DALLAS PKWY STE 150
ADDISON, TX 75001
Dallas County (214) 390-7697
STEPHEN KUCLO IHP L2, HPH, EMT-P
Naturopath
16633 DALLAS PKWY STE 150
ADDISON, TX 75001
Dallas County (469) 999-6985
NABUTSINGSO HOSHUT
Specialist/Technologist, Other (Electroneurodiagnostic)
16633 DALLAS PKWY STE 150
ADDISON, TX 75001
Dallas County (972) 380-0000

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 East Rehabilitation PA's NPI number?

The NPI number for East Rehabilitation PA is 1558322859. It was assigned to this organization in the NPPES registry on March 28, 2006.

Where is East Rehabilitation PA located?

East Rehabilitation PA is located at 16633 Dallas Pkwy Ste 150, Addison, TX 75001. The listed phone number is (972) 380-0000.

What is East Rehabilitation PA's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Does East Rehabilitation PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2008572) is associated with this NPI, valid through February 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does East Rehabilitation PA accept?

Health plans from Ambetter Health and Ambetter from Superior HealthPlan list East Rehabilitation PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for East Rehabilitation PA was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.