ENCORE REHABILIATION INC (NPI# 1407981475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407981475 |
| Entity Type | Organization |
| Organization Name | ENCORE REHABILIATION INC |
| Other Organization Name | ENCORE REHAB OF GULFPORT OG |
| Practice Address |
15476b Dedeaux Rd Gulfport MS 39503-2637 |
| Mailing Address |
Po Box 8419 Biloxi MS 39535-8087 |
| Practice Telephone | 2285393232 |
| Practice Fax Number | 2285393230 |
| Mailing Telephone | 2283885714 |
| Mailing Fax Number | 2283880017 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2010-05-12 |
| Authorized Official Name | PAUL G HENDERSON (PRESIDENT) |
| Authorized Official Telephone | 2563501764 |
| Authorized Official Credential | PT |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | GROUP NPI | 1033218524 | 01 |
| MS | 090-15077 | 05 |
| Other Name | Type Code |
|---|---|
| Encore Rehab of Gulfport OG | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356478515 | Encore Rehabiliation Inc | Clinic/Center | 411 W North St, Poplarville, MS 39470-2203 | 2007-02-27 |
| 1023143617 | Encore Rehabiliation Inc | Clinic/Center | Auburn University At Montgomery, 7440 East Drive, Montgomery, AL 36117 | 2007-02-22 |
| 1700912052 | Encore Rehabiliation Inc | Clinic/Center | 11186 Al Highway 157, Suite B, Moulton, AL 35650-1908 | 2007-02-23 |
| 1841325891 | Encore Rehabiliation Inc | Clinic/Center | 2506 Danville Rd Sw, Suite 200, Decatur, AL 35603-4232 | 2007-02-22 |
| Street Address |
15476B DEDEAUX RD |
| City | GULFPORT |
| State | MS |
| Zip Code | 39503-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598803744 | Nancy A Lovell | Physical Therapist | 15476b Dedeaux Rd, Gulfport, MS 39503-2637 | 2007-02-01 |
| 1861947376 | Tiffany Lewallen | Physical Therapist | 15476b Dedeaux Rd, Gulfport, MS 39503-2637 | 2016-08-25 |
| 1619346095 | Forrest Smith | Physical Therapist | 15476b Dedeaux Rd, Gulfport, MS 39503-2637 | 2015-09-16 |
| 1336516269 | Clarence R Quave | Physical Therapist | 15476b Dedeaux Rd, Gulfport, MS 39503-2637 | 2015-08-26 |
| 1710235874 | Lauren A Ferguson | Physical Therapist | 15476b Dedeaux Rd, Gulfport, MS 39503-2637 | 2012-08-21 |
| 1407014137 | Courtney L Broome | Occupational Therapist | 15476b Dedeaux Rd, Gulfport, MS 39503-2637 | 2008-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
| 1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
| 1750935169 | Ladner Roy Drugs, LLC. | Pharmacy | 12261 Us 49 Suite 16, Gulfport, MS 39503 | 2019-07-25 |
| 1528559440 | Alexander Therapy Services, LLC | Clinic/Center | 15465 Oak Ln Ste 100c, Gulfport, MS 39503 | 2018-05-25 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1083101216 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15094 County Barn Road, Gulfport, MS 39503 | 2018-04-13 |
| 1306343173 | Dr. Raymond Monsour Scurfield, LLC | Community/Behavioral Health | 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 | 2018-04-09 |
| 1952817157 | Mary Beth Welch | Behavioral Analyst | 9230 Old Lorraine Rd, Gulfport, MS 39503 | 2017-12-26 |
| 1831603257 | Beach View Family Dental, Pllc | Dentist | 9072 Lorraine Road, Gulfport, MS 39503 | 2017-11-21 |
| 1437677721 | Mary Stephens Ruffin | Social Worker | 11262 Creek Dr, Gulfport, MS 39503 | 2017-09-07 |
| Find all providers in zip 39503 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508301474 | Bozlee Physical Therapy LLC | Clinic/Center | 12311 Ashley Dr Ste B, Gulfport, MS 39503-2950 | 2016-12-30 |
| 1871021345 | Centric Physical Therapy LLC | Clinic/Center | 16120 Landon Rd, Gulfport, MS 39503-6119 | 2017-05-30 |
| 1437401593 | Encore Rehabilitation Inc | Clinic/Center | 1800 Beach Dr, Gulfport, MS 39507-1553 | 2012-10-12 |
| 1700096104 | Encore Rehabilitation Inc | Clinic/Center | 15190 Community Rd, Suite 120, Gulfport, MS 39503-3485 | 2007-05-23 |
| 1265567226 | Encore Rehabilitation Inc | Clinic/Center | 334 Courthouse Rd, Gulfport, MS 39507-1807 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841804283 | Rehab Ready, LLC | Clinic/Center | 2136 Stateline Rd W Ste B-c, Southaven, MS 38671-1210 | 2020-09-02 |
| 1609411354 | Enduracare Acute Care Services LLC | Clinic/Center | 351 Old Oak Cir, Pontotoc, MS 38863-5016 | 2019-11-16 |
| 1154880540 | Core Rehabilitation, LLC | Clinic/Center | 143c Willowbrook Dr, Saltillo, MS 38866-6896 | 2019-03-15 |
| 1952877060 | Encore Rehabilitation Inc | Clinic/Center | 5731 Highway 45 Alt S Ste 1277, West Point, MS 39773-0414 | 2018-10-16 |
| 1689150054 | 5 Star Performance Center, LLC | Clinic/Center | 4500 Lakeland Dr, Flowood, MS 39232-9583 | 2018-07-18 |
| 1134633324 | Enduracare Acute Care Services LLC | Clinic/Center | 236 North Caldwell Drive, Hazelhurst, MS 39083 | 2017-11-27 |
| 1104330430 | Enduracare Acute Care Services LLC | Clinic/Center | 7381 S Siwell Rd Ste A, Byram, MS 39272-8741 | 2017-11-22 |
| 1972016848 | 2083 Therapy, LLC | Clinic/Center | 5080 Lakeland Dr., Suite B, Flowood, MS 39232-4403 | 2017-11-14 |
| 1801309778 | 2083 Therapy, LLC | Clinic/Center | 1392 W Government St Ste C, Brandon, MS 39042-3049 | 2017-11-14 |
| 1689185597 | Southern Physical and Aquatic Therapy, P.a. | Clinic/Center | 369 Peoples Drive, Pontotoc, MS 38863 | 2017-10-18 |
| Find all providers with the same taxonomy | ||||
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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.