MILWAUKEE REHABILITATION HOSPITAL, LLC
NPI 1689209140
Rehabilitation Hospital in Milwaukee, WI

Active since March 05, 2020CLIA 52D2241553 · Waiver
3200 S 103RD ST, MILWAUKEE, WI 53227(469) 640-6503 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 21, 2021, Mar 5, 2020 (2 updates tracked since 2020).

About Milwaukee Rehabilitation Hospital, Llc NPPES

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

MILWAUKEE REHABILITATION HOSPITAL, LLC (NPI 1689209140) is a healthcare organization registered as a rehabilitation hospital in Milwaukee, Wisconsin and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through October 28, 2027 and lists Tracey Michelle Nixon, Chief Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1689209140
Entity TypeOrganization
Primary Taxonomy283X00000X
Legal Business NameMILWAUKEE REHABILITATION HOSPITAL, LLC
Location Address3200 S 103RD STMilwaukee, WI 53227-4104
Mailing Address450 Century Pkwy Ste 220Allen, TX 75013-8135 · (469) 640-6503
Organization SubpartNo
Authorized OfficialTracey Michelle NixonChief Compliance Officer · (469) 640-6500
Enumeration DateMarch 5, 2020
Last NPPES UpdateOctober 30, 20242 updates tracked since enumeration
NPPES CertifiedOctober 30, 2024
NPI 1689209140 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.

3200 S 103RD ST, Milwaukee, WI 53227

Accepted 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 52D2241553

Milwaukee Rehabilitation Hospital, LLC · Milwaukee, WI
Active · expires Oct 28, 2027
CLIA Number52D2241553
Laboratory TypeHospital
Certificate Effective DateOctober 29, 2025
Certificate Expiration DateOctober 28, 2027
Laboratory DirectorDr. Ricardo Knight
Laboratory Phone(469) 640-6503
Laboratory LocationMilwaukee Rehabilitation Hospital, LLC3200 S 103rd St, Milwaukee, WI 53227
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Physical Medicine & Rehabilitation
3200 S 103RD ST
MILWAUKEE, WI 53227
Internal Medicine
3200 S 103RD ST
MILWAUKEE, WI 53227
Physical Therapist
3200 S 103RD ST
MILWAUKEE, WI 53227
Occupational Therapist
3200 S 103RD ST
MILWAUKEE, WI 53227
Occupational Therapist
3200 S 103RD ST
MILWAUKEE, WI 53227

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 Milwaukee Rehabilitation Hospital, LLC's NPI number?

The NPI number for Milwaukee Rehabilitation Hospital, LLC is 1689209140. It was assigned to this organization in the NPPES registry on March 5, 2020.

Where is Milwaukee Rehabilitation Hospital, LLC located?

Milwaukee Rehabilitation Hospital, LLC is located at 3200 S 103rd St, Milwaukee, WI 53227. The listed phone number is (469) 640-6503.

What is Milwaukee Rehabilitation Hospital, LLC's specialty?

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

Does Milwaukee Rehabilitation Hospital, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2241553) is associated with this NPI, valid through October 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Milwaukee Rehabilitation Hospital, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Milwaukee Rehabilitation Hospital, LLC 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 Milwaukee Rehabilitation Hospital, LLC was last updated on October 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.