NPIMap

Organization Active NPI

Encore Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Gulfport, MS
National Provider Identifier
1437401593
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ENCORE REHABILITATION INC
Practice address
1800 Beach Dr
Gulfport, MS 39507-1553
Phone
(228) 388-5714
NPI assigned
Oct 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Authorized official

Name
Leigh K Uselton
Title
Director of Reimbursement
Phone
(228) 388-5714

Specialties & licenses 1

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

Addresses

Primary practice location

1800 Beach Dr
Gulfport, MS 39507-1553

Mailing address

PO Box 8419
Biloxi, MS 39535-8087
Phone (228) 388-5714

Other identifiers 2

IdentifierTypeStateIssuer
09015077MedicaidMS
1033218524OtherMSGROUP NPI

Other names 1

  • Encore Rehab of AFRH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121106000516 MS Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3577462126 Receives reassigned benefits from 60 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Leakesville, MS; Long Beach, MS; Lucedale, MS; Gulfport, MS; Perkinston, MS; Petal, MS; Poplarville, MS; Scooba, MS…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1437401593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8419",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395358087",
            "telephone_number": "228-388-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BEACH DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071553",
            "telephone_number": "228-388-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "USELTON",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "228-388-5714"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015077",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1033218524",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encore Rehab of AFRH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.