MEDICARE: ENCORE REHAB OF CENTER POINT

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	:	1598210528
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENCORE REHAB OF CENTER POINT

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	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1687 CENTER POINT PKWY
Second Line	:	SUITE 101/BAY 10
City	:	BIRMINGHAM
State	:	AL
Zip	:	35215-5528
Country	:	US
Telephone Number	:	205-730-5005
Fax Number	:	205-725-6595

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PAUL HENDERSON
Credential	:
Telephone Number	:	256-340-1764

Provider Enumeration Date	:	08/19/2016
Last Update Date	:	12/02/2020

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