Organization Active NPI

Encore Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Fort Walton Beach, FL
National Provider Identifier
1619435237
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
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 INCAs reported in NPPES

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
Kelsey McNutt
Title
Credentialing
Phone
(256) 350-1764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Doing business as

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.

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.

Verify at the official NPI Registry.