MEDICARE: ENCORE THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1366202350
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENCORE THERAPY LLC

Provider Business Mailing Address
First Line	:	1607 RANCH ROAD 620 N STE 500
Second Line	:
City	:	LAKEWAY
State	:	TX
Zip	:	78734-2331
Country	:	US
Telephone Number	:	737-243-1600
Fax Number	:	737-243-1601

Provider Business Practice Location Address
First Line	:	1607 RANCH ROAD 620 N STE 500
Second Line	:
City	:	LAKEWAY
State	:	TX
Zip	:	78734-2331
Country	:	US
Telephone Number	:	737-243-1600
Fax Number	:	737-243-1601

Authorized Official
Title or Position	:	CEO
Name	:	PRIYA NAVADIA
Credential	:
Telephone Number	:	512-938-9859

Provider Enumeration Date	:	03/19/2024
Last Update Date	:	07/25/2025

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Directions to “ENCORE THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

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