Provider Demographics
NPI:1225569239
Name:THE REHAB FIRM, INC.
Entity Type:Organization
Organization Name:THE REHAB FIRM, INC.
Other - Org Name:STACI LYNN TIBBS & ASSOCIATES, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STACI
Authorized Official - Middle Name:TIBBS
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:OTR, MOT, CHES
Authorized Official - Phone:713-280-3663
Mailing Address - Street 1:11601 SHADOW CREEK PKWY STE 111-216
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7283
Mailing Address - Country:US
Mailing Address - Phone:713-280-3663
Mailing Address - Fax:855-710-7269
Practice Address - Street 1:13212 LONE CREEK LN
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-3476
Practice Address - Country:US
Practice Address - Phone:713-280-3663
Practice Address - Fax:855-710-7269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-22
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112297225X00000X, 225XG0600X, 225XL0004X, 225XN1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XL0004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistLow VisionGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontologyGroup - Multi-Specialty
No225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitationGroup - Multi-Specialty