Encore Preakness, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ENCORE PREAKNESS, INC.

Practice address

2255 Monarch Dr
Naperville, IL 60563-4164

Phone

(630) 300-1272

NPI assigned

Feb 22, 2007

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-SLPNPI 1043962434

Title

Vice President

Phone

(727) 510-3850

Specialties & licenses 1

Addresses

Other names 1

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

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sue Olsen

  • Speech-Language Pathologist
  • Clearwater, FL
  • NPI 1043962434
  NPD (past) Authorized official
• Sandra Elizabeth Smith, NP

  • Adult Health Nurse Practitioner
  • Biloxi, MS
  • NPI 1831132281
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1295860138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 TAMPA RD STE 1106",
            "address_2": "LEGAL DEPARTMENT",
            "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": "2255 MONARCH DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634164",
            "telephone_number": "630-300-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE PREAKNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Select Medical Rehabilitation Services, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Barbara A Emery-Stolzer, MD
• Empowered Minds Today, PC
• Empowered Neurodiversity
• Phyllis Emroll, RN
• Encompass Counseling Center LLC
• Jessica L Enderby, D.C.
• Energize Chiropractic, Prof Corp
• Amber A Enerson, LPC
• Brianna Mae Engelkes, MS CCC-SLP
• Ivy Millar Enger, APN-CNP

• Physical Therapy Clinic/Center in Naperville, IL
• Providers in Naperville, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• 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.