| Encore Rehabilitation Inc | |
|
133 Racetrack Rd Nw Ste B Fort Walton Beach FL 32547-1644 | |
| (850) 344-7500 | |
| Not Available |
| Full Name | Encore Rehabilitation Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 133 Racetrack Rd Nw Ste B, Fort Walton Beach, Florida |
| Authorized Official Name and Position | Paul Henderson (PRESIDENT) |
| Authorized Official Contact | 2563501764 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Encore Rehabilitation Inc 251 Johnston St Se Ste 200 Decatur AL 35601-2515 Ph: (256) 350-1764 | Encore Rehabilitation Inc 133 Racetrack Rd Nw Ste B Fort Walton Beach FL 32547-1644 Ph: (850) 344-7500 |
| NPI Number | 1932667318 |
|---|---|
| Provider Enumeration Date | 03/05/2019 |
| Last Update Date | 12/02/2020 |
| Medicare PECOS PAC ID | 3577462126 |
|---|---|
| Medicare Enrollment ID | O20190501002430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932667318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| Provider Name | Drew Edwin Whitfield |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649635244 PECOS PAC ID: 5294084638 Enrollment ID: I20191108003024 |
| Provider Name | Malcolm James Mcdougall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275642845 PECOS PAC ID: 8022186832 Enrollment ID: I20191127002385 |
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