Organization Active NPI

Encore Rehabilitation, Inc.

  • Physical Therapy Clinic/Center
  • Lillian, AL
National Provider Identifier
1497153167
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
12831 6TH St
Unit C
Lillian, AL 36549-4166
Phone
(251) 961-0090
Fax
(251) 961-0092
NPI assigned
Dec 12, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Paul HendersonNPI 1376566570
Title
President
Phone
(256) 350-1764

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 24

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

View all 24

Practitioners 102

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

View all 102

National Provider Directory

National Provider Directory
Tax ID family
Encore Rehabilitation Inc (112 organizations share this tax ID)

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

12831 6TH St
Unit C
Lillian, AL 36549-4166

Mailing address

251 Johnston St SE
Suite 300
Decatur, AL 35601-2515
Phone (256) 340-9708

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
1003819608OtherALGROUP NPI
529917620MedicaidAL

Other names 1

NPPES NPI Registry
  • Encore Rehab of Lillian Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 2, 2020.

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1497153167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 JOHNSTON ST SE",
            "address_2": "SUITE 300",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356012515",
            "telephone_number": "256-340-9708",
            "fax_number": "256-340-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12831 6TH ST",
            "address_2": "UNIT C",
            "city": "LILLIAN",
            "state": "AL",
            "postal_code": "365494166",
            "telephone_number": "251-961-0090",
            "fax_number": "251-961-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-12",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-350-1764"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "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 Lillian",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Encore Rehab of Lillian",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lillian, AL

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.