Active NPI
Encore Rehabilitation Inc
- Physical Therapy Clinic/Center
- Fort Walton Beach, FL
National Provider Identifier
1619435237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- ENCORE REHABILITATION INC
- Doing business as
- Encore Rehab of Fort Walton Beach
- Practice address
- 133 Racetrack Rd NW Ste B
Fort Walton Beach, FL 32547-1644 - Phone
- (256) 350-1764
- NPI assigned
- Mar 4, 2019
- Organization subpart
- Yes
- Parent organization
- ENCORE REHABILITATION INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelsey McNutt
- Title
- Credentialing
- Phone
- (256) 350-1764
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
133 Racetrack Rd NW Ste B
Fort Walton Beach, FL 32547-1644
Mailing address
251 Johnston St SE Ste 200
Decatur, AL 35601-2515
Phone (256) 350-1764
Other names 1
- Encore Rehab of Fort Walton Beach
National Provider Directory
National Provider Directory- Part of
- Encore Rehabilitation Inc
Locations
133 Racetrack Rd NW
Ste B
Fort Walton Beach, FL 32547
Phone (850) 344-7500
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Clinic/Center
- Fort Walton Beach, FL
- NPI 1932667318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606867200000",
"number": "1619435237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 JOHNSTON ST SE STE 200",
"city": "DECATUR",
"state": "AL",
"postal_code": "356012515",
"telephone_number": "256-350-1764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 RACETRACK RD NW STE B",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325471644",
"telephone_number": "256-350-1764"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENCORE REHABILITATION INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ENCORE REHABILITATION INC",
"enumeration_date": "2019-03-04",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A",
"authorized_official_last_name": "MCNUTT",
"authorized_official_first_name": "KELSEY",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "256-350-1764"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Encore Rehab of Fort Walton Beach",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Walton Beach, FL
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.