Healthcare Provider Details

I. General information

NPI: 1861527954
Provider Name (Legal Business Name): ENCORE REHABILITATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 12/02/2020
Certification Date: 12/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22423 US HIGHWAY 72 SUITE B
ATHENS AL
35613-2662
US

IV. Provider business mailing address

251 JOHNSTON ST SE SUITE 300
DECATUR AL
35601-2515
US

V. Phone/Fax

Practice location:
  • Phone: 256-232-1221
  • Fax: 232-232-1231
Mailing address:
  • Phone: 256-340-9708
  • Fax: 256-340-9624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PAUL G HENDERSON
Title or Position: PRESIDENT
Credential: PT
Phone: 256-350-1764