ENCORE PREAKNESS, INC. (NPI# 1295860138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295860138 |
Entity Type | Organization |
Organization Name | ENCORE PREAKNESS, INC. |
Other Organization Name | SELECT MEDICAL REHABILITATION SERVICES, INC. |
Practice Address |
2255 Monarch Dr Naperville IL 60563-4164 |
Mailing Address |
4025 Tampa Rd Ste 1106 Legal Department Oldsmar FL 34677-3213 |
Practice Telephone | 6303001272 |
Mailing Telephone | 8889747878 |
Mailing Fax Number | 7277261825 |
Enumeration Date | 2007-02-22 |
Last Update Date | 2016-04-22 |
Authorized Official Name | SUE E. OLSEN (VICE PRESIDENT) |
Authorized Official Telephone | 7275103850 |
Authorized Official Credential | CCC-SLP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Select Medical Rehabilitation Services, Inc. | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619415841 | Encore Preakness, Inc. | Occupational Therapy Assistant | 7 E Congress St, Suite 404, Savannah, GA 31401-3337 | 2017-02-08 |
1053777052 | Encore Preakness, Inc. | Speech-Language Pathologist | 13875 W 115th Ter, Smrs Office, Olathe, KS 66062-7937 | 2016-01-06 |
1376053033 | Encore Preakness, Inc. | Clinic/Center | 825 Western Ave, Columbus, WI 53925-1675 | 2017-10-09 |
1760992416 | Encore Preakness, Inc. | Clinic/Center | 6040 S 58th St Ste C, Lincoln, NE 68516-3695 | 2017-10-09 |
1932501319 | Encore Preakness, Inc. | Skilled Nursing Facility | 281 Mathistown Rd, Room 152, Little Egg Harbor Twp, NJ 08087-4066 | 2014-09-17 |
1073943700 | Encore Preakness, Inc. | Occupational Therapist | 3500 Oak Manor Ln, Largo, FL 33774-1211 | 2013-11-15 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | ENCORE PREAKNESS, INC | 33533 W 12 Mile Rd Ste 290, Farmington Hills, MI 48331 |
Washington State Corporations | ENCORE PREAKNESS, INC. | 33533 W. 12 Mile Road, Suite 290, Farmington Hills, MI 48331 |
Connecticut Business Registrations | Encore Preakness, Inc. | 33533 W. 12 Mile Road, Suite 290, Farmington Hills, MI 48331 |
Street Address |
2255 MONARCH DR |
City | NAPERVILLE |
State | IL |
Zip Code | 60563-4164 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457340267 | Constantine Wonais | Internal Medicine | 2255 Monarch Dr, Naperville, IL 60563-4164 | 2005-10-14 |
1508407735 | Amy Elizabeth Fehrenbacher | Physical Therapist | 2255 Monarch Dr, Naperville, IL 60563-4164 | 2019-09-29 |
1932595709 | Tania Cicione | Occupational Therapist | 2255 Monarch Dr, Naperville, IL 60563-4164 | 2015-04-08 |
1619369790 | Dabney Messer-rehak | Physical Therapist | 2255 Monarch Dr, Naperville, IL 60563-4164 | 2015-02-25 |
1992115158 | Naperville Senior Care LLC | Skilled Nursing Facility | 2255 Monarch Dr, Naperville, IL 60563 | 2014-04-28 |
1760749535 | Edward Health Ventures | Internal Medicine | 2255 Monarch Dr, Naperville, IL 60563-4164 | 2012-04-18 |
1679863146 | Julee Ann Lockard | Occupational Therapist | 2255 Monarch Dr, Naperville, IL 60563-4164 | 2011-04-18 |
1790075083 | Karen Ann Cerny | Physical Therapist | 2255 Monarch Dr, Naperville, IL 60563-4164 | 2011-04-08 |
1235345240 | Life Care Home Health Services LLC | Home Health | 2255 Monarch Dr, Naperville, IL 60563-4164 | 2007-05-15 |
1487663126 | Erickson Health Medical Group of Illinois PC | Family Medicine | 2255 Monarch Dr, Naperville, IL 60563-4164 | 2006-08-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
1700484847 | Lee Michael Harms I | Social Worker | 1952 Mcdowell Road, Suite 305, Naperville, IL 60563 | 2020-10-12 |
1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
1851901219 | Adiana Lebron | Social Worker | 2948 Artestian Road, Naperville, IL 60563 | 2020-07-31 |
1194342014 | Ingrid Lara | Behavioral Analyst | 1975 Mcdowell Rd #101, Naperville, IL 60563 | 2020-06-26 |
1396383030 | Jack Kelly | Assistant Behavior Analyst | 1975 Mcdowell Rd. #101, Naperville, IL 60563 | 2019-12-12 |
1316583529 | Arvind Ramakrishnan | Behavioral Analyst | 1975 Mcdowell Rd., Naperville, IL 60563 | 2019-11-22 |
1679115778 | Melissa Macias | Behavioral Analyst | 1975 Mcdowell Road, #101, Naperville, IL 60563 | 2019-10-10 |
1629619275 | Meghann Reid Vizintos | Physician Assistant | 1763 Freedom Dr Ste 117, Naperville, IL 60563 | 2019-10-04 |
1417413543 | Vikram Singh Cheema | Physician Assistant | 1335 North Mill Street, Naperville, IL 60563 | 2019-02-13 |
Find all providers in zip 60563 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528666468 | Chicago Pelvic Health and Wellness, LLC | Clinic/Center | 1020 E Ogden Ave Ste 309, Naperville, IL 60563-8611 | 2020-10-13 |
1124631676 | Leena Bird Physical Therapy Pllc | Clinic/Center | 400 Prairie Knoll Dr, Naperville, IL 60565-4154 | 2020-08-25 |
1831702232 | Pararmount Physical Therapy LLC | Clinic/Center | 2960 Artesian Rd Ste 152, Naperville, IL 60564-4876 | 2020-08-25 |
1609485887 | Elite Integrated Medical, LLC | Clinic/Center | 1999 Springbrook Square Dr Ste 103, Naperville, IL 60564-5962 | 2020-07-23 |
1124642723 | Movement Performance and Function LLC | Clinic/Center | 24137 111th St Ste G, Naperville, IL 60564-8316 | 2020-05-31 |
1013141746 | Absolute Rehab | Clinic/Center | 1012 W. 95th St, 95th Street Medical Building, Suite - 10, Naperville, IL 60564-5041 | 2009-05-09 |
1548202336 | Active Motion Physical Therapy, P.C. | Clinic/Center | 1466 E Chicago Ave, Naperville, IL 60540-5915 | 2006-06-13 |
1548651102 | Activa Physical Therapy Inc. | Clinic/Center | 1935 Springbrook Square Dr, Suite 105, Naperville, IL 60564-5947 | 2015-02-17 |
1285956227 | Total Life Physical Therapy, LLC | Clinic/Center | 2255 Erickson Dr, Naperville, IL 60563-4164 | 2010-02-18 |
1942439112 | Progress Pt Inc. | Clinic/Center | 24w500 Maple Ave, Suite 208, Naperville, IL 60540 | 2009-07-09 |
Find all providers in NAPERVILLE |
City | NAPERVILLE |
Zip Code | 60563 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.