NPIMap

Organization Active NPI

Encore Preakness, Inc.

  • Rehabilitation Clinic/Center
  • Columbus, WI
National Provider Identifier
1376053033
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
ENCORE PREAKNESS, INC.
Practice address
825 Western Ave
Columbus, WI 53925-1675
Phone
(920) 623-2520
Fax
(920) 623-9280
NPI assigned
Oct 9, 2017
Last updated
Oct 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sue E Olsen
Title
Vice President
Phone
(888) 974-7878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

825 Western Ave
Columbus, WI 53925-1675

Mailing address

4025 Tampa Rd Ste 1106
Oldsmar, FL 34677-3213
Phone (888) 974-7878

National Provider Directory

National Provider Directory
Tax ID family
Encore Preakness Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1376053033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 TAMPA RD STE 1106",
            "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": "825 WESTERN AVE",
            "city": "COLUMBUS",
            "state": "WI",
            "postal_code": "539251675",
            "telephone_number": "920-623-2520",
            "fax_number": "920-623-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE PREAKNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-09",
        "last_updated": "2017-10-18",
        "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": "888-974-7878"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.