Encore Preakness, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ENCORE PREAKNESS, INC.

Practice address

3500 Oak Manor LN
Largo, FL 33774-1211

Phone

(727) 581-9427

Fax

(727) 587-0059

NPI assigned

Nov 15, 2013

Organization subpart

No

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 3

Addresses

Other names 1

• Select Medical Rehabiltation Services, Inc. Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1073943700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 TAMPA RD STE 1106",
            "address_2": "LEGAL/REGULATORY",
            "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": "3500 OAK MANOR LN",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337741211",
            "telephone_number": "727-581-9427",
            "fax_number": "727-587-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE PREAKNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "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": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Select Medical Rehabiltation Services, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Empath Health Pharmaceuticals, LLC
• Empowered Connections LLC
• Empowerment Counseling Corporation
• Steven Enage
• Encompass Health Rehabilitation Hospital of Largo, LLC
• Isabella Leigh Engelman
• Sharon Lou Engelman, D.D.S.
• Rebecca J Engle, LCSW
• Enrial Landicho Enriquez, D.D.S.
• Ensor Health Services

• Physical Therapy Clinic/Center in Largo, FL
• Providers in Largo, FL by specialty
• Physical Therapy Clinic/Center in Florida

• 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.