ENCORE REHABILITATION INC (NPI# 1548396807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548396807 |
| Entity Type | Organization |
| Organization Name | ENCORE REHABILITATION INC |
| Other Organization Name | ENCORE REHAB OF PETAL |
| Practice Address |
100 Eastbrook Dr Suite 130 Petal MS 39465-6007 |
| Mailing Address |
Po Box 8419 Biloxi MS 39535-8087 |
| Practice Telephone | 6015440500 |
| Practice Fax Number | 6015440505 |
| Mailing Telephone | 2283885714 |
| Mailing Fax Number | 2283880017 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2010-05-11 |
| 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 | 09015077 | 05 |
| Other Name | Type Code |
|---|---|
| Encore Rehab of Petal | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952877060 | Encore Rehabilitation Inc | Clinic/Center | 5731 Highway 45 Alt S Ste 1277, West Point, MS 39773-0414 | 2018-10-16 |
| 1174997514 | Encore Rehabilitation Inc | Clinic/Center | 59 Eva Rd, Somerville, AL 35670-6423 | 2015-11-23 |
| 1063881464 | Encore Rehabilitation Inc | Clinic/Center | 1355 Bessemer Rd Ste B, Birmingham, AL 35208-4325 | 2015-09-16 |
| 1598195067 | Encore Rehabilitation Inc | Physical Therapist | 1275 Highway 45 S, Suite 1277, West Point, MS 39773-9316 | 2013-11-20 |
| 1598009466 | Encore Rehabilitation Inc | Physical Therapist | 1710 Veterans Memorial Blvd, Eupora, MS 39744 | 2012-11-16 |
| 1174867253 | Encore Rehabilitation Inc | Physical Therapist | 450 Highway 12 W, Suite D, Starkville, MS 39759-3697 | 2012-11-15 |
| 1316113087 | Encore Rehabilitation Inc | Clinic/Center | 7777 Highway 43, Office # 4, Trauma Room, Mcintosh, AL 36553 | 2008-05-02 |
| 1720114614 | Encore Rehabilitation Inc | Clinic/Center | 21862 State Highway 59 S Ste E, Robertsdale, AL 36567-6712 | 2007-02-26 |
| 1356477624 | Encore Rehabilitation Inc | Clinic/Center | 15041 Highway 43, Russellville, AL 35653-1973 | 2007-02-23 |
| 1043346380 | Encore Rehabilitation Inc | Clinic/Center | 5643 Sermon Rd S, Theodore, AL 36582-3608 | 2007-02-23 |
| Street Address |
100 EASTBROOK DR SUITE 130 |
| City | PETAL |
| State | MS |
| Zip Code | 39465-6007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437586724 | Amye B Lovitt | Physical Therapist | 100 Eastbrook Dr, Petal, MS 39465-6009 | 2013-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164055489 | R&p Elite Services, LLC | Private Vehicle | 68 Springfield Rd., Petal, MS 39465 | 2020-02-14 |
| 1003460544 | Hayden White | Pharmacist | 36 Byrd Dr., Petal, MS 39465 | 2019-08-01 |
| 1134612971 | Chandler Mccarley Hawkins | Dentist | 1115 Evelyn Gandy Parkway, Petal, MS 39465 | 2018-06-06 |
| 1881199818 | Lauren O'neal Garner | Nurse Practitioner | 36 Stadium Drive, Petal, MS 39465 | 2018-03-30 |
| 1700036928 | Petal School District | Registered Nurse | 60 Herrington Road, Petal, MS 39465 | 2008-09-24 |
| 1962679043 | Hattiesburg Eye Clinic Pa | Optometrist | 1223 Hwy 42, Ste 140, Petal, MS 39465 | 2008-05-08 |
| 1023228640 | Noal Baxter Cochran | Marriage & Family Therapist | 80 Lakeland Circle, Petal, MS 39465 | 2007-05-23 |
| 1750596938 | James A Nicholson Dds Pa | Dentist | 120 South 28th Avenue, Hattiesburg, MS 39465 | 2007-05-11 |
| 1356563605 | Petal School District | Registered Nurse | 400 Hillcrest Loop, Petal, MS 39465 | 2007-05-03 |
| 1154480804 | Mary E Thomsen | Orthotic Fitter | 173 Cherry Oak Trail, Petal, MS 39465 | 2006-12-08 |
| Find all providers in zip 39465 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| 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.