Healthcare Provider Details

I. General information

NPI: 1225847213
Provider Name (Legal Business Name): ENCOMPASS HEALTH REHABILITATION HOSPITAL OF FORT MYERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2025
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6150 MEDICAL PARK LOOP
FORT MYERS FL
33912-4537
US

IV. Provider business mailing address

6150 MEDICAL PARK LOOP
FORT MYERS FL
33912-4537
US

V. Phone/Fax

Practice location:
  • Phone: 239-722-3600
  • Fax: 239-722-3995
Mailing address:
  • Phone: 239-722-3600
  • Fax: 239-722-3995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number
License Number State

VIII. Authorized Official

Name: CAREY B. MCRAE
Title or Position: VICE PRESIDENT OF THE MANAGER
Credential:
Phone: 205-967-7116