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NPI Code Detail

MEDICARE: ENCORE REHABILITATION, INC.

MEDICARE: ENCORE REHABILITATION, INC.
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
1261QP2000XPhysical Therapy Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21003819608OTHERALGROUP NPI

General Provider Information

NPI Number : 1689906661
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENCORE REHABILITATION, INC.
Provider Business Mailing Address
First Line : 251 JOHNSTON ST SE
Second Line : SUITE 300
City : DECATUR
State : AL
Zip : 35601-2515
Country : US
Telephone Number : 256-340-9708
Fax Number : 256-340-9624
Provider Business Practice Location Address
First Line : 30762 STATE HIGHWAY 181 STE D
Second Line :
City : SPANISH FORT
State : AL
Zip : 36527-5672
Country : US
Telephone Number : 256-350-1764
Fax Number : 251-625-2172
Authorized Official
Title or Position : PRESIDENT
Name : PAUL HENDERSON
Credential : PT
Telephone Number : 256-350-1764
Provider Enumeration Date : 02/02/2010
Last Update Date : 12/02/2020

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Directions to “ENCORE REHABILITATION, INC. ” Practice Location

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