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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
11033218524OTHERMSGROUP NPI
26612820006OTHERDME
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700096104
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENCORE REHABILITATION, INC
Provider Business Mailing Address
First Line : PO BOX 8419
Second Line :
City : BILOXI
State : MS
Zip : 39535-8087
Country : US
Telephone Number : 228-388-5714
Fax Number : 228-388-0017
Provider Business Practice Location Address
First Line : 2781 CT SWITZER SR DRIVE
Second Line : SUITE 301
City : BILOXI
State : MS
Zip : 39531-4535
Country : US
Telephone Number : 228-277-1115
Fax Number : 228-265-7443
Authorized Official
Title or Position : PRESIDENT
Name : PAUL G HENDERSON
Credential : PT
Telephone Number : 256-350-1764
Provider Enumeration Date : 05/23/2007
Last Update Date : 09/08/2022

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Directions to “ENCORE REHABILITATION, INC ” Practice Location

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