MEDICARE: BAY OUTPATIENT REHAB CLINIC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	163W00000X	Registered Nurse
2	363A00000X	Physician Assistant
3	363LA2200X	Adult Health Nurse Practitioner
4	363LF0000X	Family Nurse Practitioner
5	363LG0600X	Gerontology Nurse Practitioner
6	207VG0400X	Gynecology Physician

General Provider Information

NPI Number	:	1881793982
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAY OUTPATIENT REHAB CLINIC LLC

Provider Business Mailing Address
First Line	:	1121 W MAGNOLIA AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-4435
Country	:	US
Telephone Number	:	817-453-1844
Fax Number	:	817-332-1151

Provider Business Practice Location Address
First Line	:	1121 W MAGNOLIA AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-4435
Country	:	US
Telephone Number	:	817-453-1844
Fax Number	:	817-332-1151

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	ROBIN STREIFERD
Credential	:
Telephone Number	:	817-578-8300

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1225139769 — BRIAN DOW R.N.
Practice Location Address:

1121 W. MAGNOLIA AVENUE
FORT WORTH, TX
76104-4435

Practice Phone: 817-453-1844
Practice Fax: 817-332-1151

1134293707 — LYNDA R WHEELER
Practice Location Address:

1121 W MAGNOLIA AVE
FORT WORTH, TX
76104-4435

Practice Phone: 817-453-1844
Practice Fax:

1104987858 — NANCY W REEVE RN, WHCNP
Practice Location Address:

1121 W MAGNOLIA AVE
FORT WORTH, TX
76104-4435

Practice Phone: 817-453-1844
Practice Fax: 817-332-1151

1164572392 — TSEDEY ABERRA TADESSE APRN, BC
Practice Location Address:

1121 W MAGNOLIA AVE
FORT WORTH, TX
76104-4435

Practice Phone: 817-454-9840
Practice Fax:

1306481205 — LUMA PSYCHOLOGY PLLC
Practice Location Address:

2201 DOTTIE LYNN PKWY STE 127
FORT WORTH, TX
76120-4435

Practice Phone: 817-313-7899
Practice Fax:

1588244719 — CAREGIVER BEHAVIORAL SERVICES OF TEXAS, LLC
Practice Location Address:

4800 OVERTON PLZ STE 440
FORT WORTH, TX
76109-4435

Practice Phone: 800-299-5161
Practice Fax: 817-447-3033

Directions to “BAY OUTPATIENT REHAB CLINIC LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.