BRADENTON REHABILITATION HOSPITAL LLC
NPI 1992690747
Rehabilitation Hospital in Bradenton, FL

Active since June 11, 2025CLIA 10D2345398 · Waiver
412 53RD AVE W, BRADENTON, FL 34207(469) 640-6500 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 8, 2026, Jun 11, 2025 (2 updates tracked since 2025).

About Bradenton Rehabilitation Hospital Llc NPPES

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

BRADENTON REHABILITATION HOSPITAL LLC (NPI 1992690747), doing business as Bradenton Rehabilitation Hospital, is a healthcare organization registered as a rehabilitation hospital in Bradenton, Florida and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through June 9, 2028 and lists Tracey Nixon, Chief Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1992690747
Entity TypeOrganization
Primary Taxonomy283X00000X
Legal Business NameBRADENTON REHABILITATION HOSPITAL LLC
Location Address412 53RD AVE WBradenton, FL 34207-3415
Mailing Address450 Century Pkwy Ste 220Allen, TX 75013-8135 · (469) 640-6500
Organization SubpartNo
Authorized OfficialTracey NixonChief Compliance Officer · (469) 640-6500
Enumeration DateJune 11, 2025
Last NPPES UpdateMay 8, 20262 updates tracked since enumeration
NPPES CertifiedMay 8, 2026
NPI 1992690747 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.
412 53RD AVE W, Bradenton, FL 34207

Other Names 1

Doing Business AsBradenton Rehabilitation Hospital

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 10D2345398

Bradenton Rehabilitation Hospital LLC · Bradenton, FL
Active · expires Jun 9, 2028
CLIA Number10D2345398
Laboratory TypeHospital
Certificate Effective DateJune 10, 2026
Certificate Expiration DateJune 9, 2028
Laboratory DirectorTaras Kochno
Laboratory Phone(469) 640-6503
Laboratory LocationBradenton Rehabilitation Hospital LLC404 53rd Avenue W, Bradenton, FL 34207
CLIA data matches this NPI record on: Name
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 Bradenton Rehabilitation Hospital LLC's NPI number?

The NPI number for Bradenton Rehabilitation Hospital LLC is 1992690747. It was assigned to this organization in the NPPES registry on June 11, 2025. The provider is doing business as Bradenton Rehabilitation Hospital.

Where is Bradenton Rehabilitation Hospital LLC located?

Bradenton Rehabilitation Hospital LLC is located at 412 53rd Ave W, Bradenton, FL 34207. The listed phone number is (469) 640-6500.

What is Bradenton Rehabilitation Hospital LLC's specialty?

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

Does Bradenton Rehabilitation Hospital LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2345398) is associated with this NPI, valid through June 9, 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 Bradenton Rehabilitation Hospital LLC was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.