NPIMap

Organization Active NPI

Encore Rehabilitation, Inc.

Doing business as Encore Rehab of Bayou La Batre

  • Physical Therapy Clinic/Center
  • Bayou la Batre, AL
National Provider Identifier
1427200971
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ENCORE REHABILITATION, INC.
Doing business as
Encore Rehab of Bayou La Batre
Practice address
13040 N Wintzell Ave
Office # 2
Bayou la Batre, AL 36509-2110
Phone
(251) 824-2882
Fax
(251) 824-2884
NPI assigned
Oct 15, 2008
Last updated
May 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Authorized official

Name
Paul G Henderson, PTNPI 1376566570
Title
President
Phone
(256) 350-1764

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X AL Primary

Addresses

Primary practice location

13040 N Wintzell Ave
Office # 2
Bayou la Batre, AL 36509-2110

Mailing address

1908 Flint Rd SE
Decatur, AL 35601-6031
Phone (256) 350-1764

Other identifiers 2

IdentifierTypeStateIssuer
1003819608OtherALGROUP NPI
529917620MedicaidAL

Other names 1

  • Encore Rehab of Bayou La Batre Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Encore Rehab112 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

13040 N Wintzell Ave
Ofc 2
Bayou La Batre, AL 36509
Phone (251) 824-2882

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1427200971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 FLINT RD SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016031",
            "telephone_number": "256-350-1764",
            "fax_number": "256-350-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13040 N WINTZELL AVE",
            "address_2": "OFFICE # 2",
            "city": "BAYOU LA BATRE",
            "state": "AL",
            "postal_code": "365092110",
            "telephone_number": "251-824-2882",
            "fax_number": "251-824-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-350-1764",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1003819608",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529917620",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encore Rehab of Bayou La Batre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayou la Batre, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.