NPIMap

Organization Active NPI

Encore Rehabilitation, Inc

Doing business as Encore Rehab of Gardendale

  • Physical Therapy Clinic/Center
  • Gardendale, AL
National Provider Identifier
1710177431
Registry record updated May 11, 2010
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 Gardendale
Practice address
919 Sharit Ave
Ste 101
Gardendale, AL 35071-5006
Phone
(256) 340-9708
Fax
(256) 340-9624
NPI assigned
Jul 30, 2007
Last updated
May 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2010

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 1

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

Addresses

Primary practice location

919 Sharit Ave
Ste 101
Gardendale, AL 35071-5006

Mailing address

1908 Flint Rd SE
Decatur, AL 35601-6031
Phone (256) 340-9708

Other identifiers 2

IdentifierTypeStateIssuer
1003819608OtherALORGANIZATIONAL NPI FOR GR
529917620MedicaidAL

Other names 1

  • Encore Rehab of Gardendale 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 24

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

View all 24

Locations

1908 Flint Rd SE
Decatur, AL 35601

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1710177431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 FLINT RD SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016031",
            "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": "919 SHARIT AVE",
            "address_2": "STE 101",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350715006",
            "telephone_number": "256-340-9708",
            "fax_number": "256-340-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2010-05-11",
        "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
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATIONAL NPI FOR GR",
            "identifier": "1003819608",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529917620",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encore Rehab of Gardendale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gardendale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.