NPIMap

Organization Active NPI

Encore Rehabilitation Inc

Doing business as Encore Rehab of Petal

  • Physical Therapy Clinic/Center
  • Petal, MS
National Provider Identifier
1548396807
Registry record updated Aug 31, 2026
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 Petal
Practice address
1044 Highway 42 Ste 130
Petal, MS 39465-2671
Phone
(601) 544-0500
Fax
(601) 544-0505
NPI assigned
Feb 23, 2007
Last updated
Aug 31, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ENCORE REHABILITATION INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

1044 Highway 42 Ste 130
Petal, MS 39465-2671

Mailing address

251 Johnston St SE Ste 300
Decatur, AL 35601-2535
Phone (256) 350-1764

Other identifiers 2

IdentifierTypeStateIssuer
1033218524OtherMSGROUP NPI
09015077MedicaidMS

Other names 1

  • Encore Rehab of Petal Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Encore Rehabilitation I112 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 22

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

View all 22

Locations

100 Eastbrook Dr
Ste 130
Petal, MS 39465
Phone (601) 544-0500

1044 Highway 42
Ste 130
Petal, MS 39465
Phone (601) 544-0500

Practitioners & affiliated clinicians

Practitioners 33

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 33

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1548396807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 JOHNSTON ST SE STE 300",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356012535",
            "telephone_number": "256-350-1764",
            "fax_number": "256-274-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 HIGHWAY 42 STE 130",
            "city": "PETAL",
            "state": "MS",
            "postal_code": "394652671",
            "telephone_number": "601-544-0500",
            "fax_number": "601-544-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE REHABILITATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENCORE REHABILITATION INC",
        "enumeration_date": "2007-02-23",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "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": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1033218524",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015077",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encore Rehab of Petal",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Encore Rehab of Petal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Petal, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.