Active NPI
WSSH Encore Preakness, LLC
- Rehabilitation Clinic/Center
- Naperville, IL
National Provider Identifier
1053244772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- WSSH ENCORE PREAKNESS, LLC
- Practice address
- 2255 Monarch Dr
Naperville, IL 60563-4164 - Phone
- (323) 928-9445
- NPI assigned
- Jun 3, 2026
- Last updated
- Jun 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Avrohom Tress
- Title
- Executive Vice President
- Phone
- (323) 928-9445
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | NU | Primary |
Addresses
Primary practice location
2255 Monarch Dr
Naperville, IL 60563-4164
Mailing address
9526 W Pico Blvd
Los Angeles, CA 90035-1202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1053244772. Details of each certification follow.
Outpatient physical therapy / speech pathology certification: CCN 146748
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- ENCORE PREAKNESS INC
- Certification status
- Active
- Provider type (POS)
- Outpatient physical therapy / speech pathology
- Participating since
- Nov 23, 2015
- Last certification
- Nov 23, 2015
- Ownership / control type
- Proprietary
- Facility address
- 2255 Monarch Drive
Naperville, IL 60563
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780444800000",
"number": "1053244772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9526 W PICO BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900351202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2255 MONARCH DR",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605634164",
"telephone_number": "323-928-9445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WSSH ENCORE PREAKNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-03",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A",
"authorized_official_last_name": "TRESS",
"authorized_official_first_name": "AVROHOM",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
"authorized_official_telephone_number": "323-928-9445"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.