Organization Active NPI

Encore Preakness, Inc.

  • Physical Therapy Clinic/Center
  • Olathe, KS
National Provider Identifier
1053777052
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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)CodeLicenseStatePrimary
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. Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.