Encore Preakness, Inc.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ENCORE PREAKNESS, INC.

Practice address

281 Mathistown Rd
Room 152
Little Egg Harbor TWP, NJ 08087-4066

Phone

(609) 857-4141

NPI assigned

Sep 17, 2014

Last updated

Apr 22, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sue E Olsen, CCC-SLP

Title

Vice President

Phone

(727) 510-3850

Specialties & licenses 2

Addresses

Other names 1

• Select Medical Rehabilitation Services, Inc. Former legal business name

Locations

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1932501319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 TAMPA RD STE 1106",
            "address_2": "LEGAL DEPT",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773213",
            "telephone_number": "888-974-7878",
            "fax_number": "727-726-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 MATHISTOWN RD",
            "address_2": "ROOM 152",
            "city": "LITTLE EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "080874066",
            "telephone_number": "609-857-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE PREAKNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "727-510-3850",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Select Medical Rehabilitation Services, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Natalia N Effiong
• Steven Angelo Elias, MSPT
• Heidi M Elich, MS, RD
• John S Ellis, OD
• Ellis' Family Eyecare, LLC
• Equilibrium Rehab, LLC
• Essence of Life Therapeutic Services LLC
• Etukuru MD PC
• Family Medicine Center (Family Medicine Center - Little Egg Harbor)
• Lauren Farina

• Physical Medicine & Rehabilitation Physician in Little Egg Harbor TWP, NJ
• Providers in Little Egg Harbor TWP, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; 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.