Active NPI
Encore Preakness, Inc.
- Physical Therapy Clinic/Center
- Olathe, KS
National Provider Identifier
1053777052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- ENCORE PREAKNESS, INC.
- Practice address
- 13875 W 115TH Ter
SMRS Office
Olathe, KS 66062-7937 - Phone
- (913) 906-0990
- NPI assigned
- Jan 6, 2016
- Last updated
- Apr 22, 2016
- 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
- Sue E Olsen, CCC-SLP
- Title
- Vice President
- Phone
- (727) 510-3850
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | NU | Primary | |
| Speech-Language Pathologist | 235Z00000X | NU |
Addresses
Primary practice location
13875 W 115TH Ter
SMRS Office
Olathe, KS 66062-7937
Mailing address
4025 Tampa Rd Ste 1106
Legal Dept
Oldsmar, FL 34677-3213
Phone (888) 974-7878
Other names 1
- Select Medical Rehabilitation Services, Inc.
National Provider Directory
National Provider DirectoryLocations
13875 W 115th Ter
Ofc
Olathe, KS 66062
Phone (913) 906-0990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461283200000",
"number": "1053777052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4025 TAMPA RD STE 1106",
"address_2": "LEGAL DEPT",
"city": "OLDSMAR",
"state": "FL",
"postal_code": "346773213",
"telephone_number": "888-974-7878",
"fax_number": "727-726-1825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13875 W 115TH TER",
"address_2": "SMRS OFFICE",
"city": "OLATHE",
"state": "KS",
"postal_code": "660627937",
"telephone_number": "913-906-0990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENCORE PREAKNESS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-06",
"last_updated": "2016-04-22",
"status": "A",
"authorized_official_last_name": "OLSEN",
"authorized_official_first_name": "SUE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "727-510-3850",
"authorized_official_credential": "CCC-SLP"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Select Medical Rehabilitation Services, Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.