ENCORE PREAKNESS, INC. (NPI# 1376053033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376053033 |
| Entity Type | Organization |
| Organization Name | ENCORE PREAKNESS, INC. |
| Practice Address |
825 Western Ave Columbus WI 53925-1675 |
| Mailing Address |
4025 Tampa Rd Ste 1106 Oldsmar FL 34677-3213 |
| Practice Telephone | 9206232520 |
| Practice Fax Number | 9206239280 |
| Mailing Telephone | 8889747878 |
| Mailing Fax Number | 7277261825 |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-10-18 |
| Authorized Official Name | SUE E OLSEN (VICE PRESIDENT) |
| Authorized Official Telephone | 8889747878 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| 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 |
| 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 |
| 1295860138 | Encore Preakness, Inc. | Clinic/Center | 2255 Monarch Dr, Naperville, IL 60563-4164 | 2007-02-22 |
| 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 |
825 WESTERN AVE |
| City | COLUMBUS |
| State | WI |
| Zip Code | 53925-1675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750376489 | Columbus Operator, LLC | Skilled Nursing Facility | 825 Western Ave, Columbus, WI 53925-1675 | 2005-09-19 |
| 1427368265 | Lynn M. Lenling | Physical Therapist | 825 Western Ave, Columbus, WI 53925-1675 | 2010-10-14 |
| 1669707030 | Jennifer R Hanson | Physical Therapist | 825 Western Ave, Columbus, WI 53925-1675 | 2009-10-02 |
| 1003081886 | Lisa M Haag | Physical Therapy Assistant | 825 Western Ave, Columbus, WI 53925-1675 | 2008-04-23 |
| 1851564264 | Jean Marie Ott | Occupational Therapy Assistant | 825 Western Ave, Columbus, WI 53925-1675 | 2008-04-07 |
| 1851587620 | Janna Sue Vice | Speech-Language Pathologist | 825 Western Ave, Columbus, WI 53925-1675 | 2007-09-14 |
| 1831113141 | Jilleine Ruth Baker | Occupational Therapist | 825 Western Ave, Columbus, WI 53925-1675 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275833659 | Beaver Dam Community Hosptials, Inc. | Family Medicine | 1580 W James St, Columbus, WI 53925 | 2010-11-01 |
| 1497972749 | Droessler Chiropractic Sc | Chiropractor | 1349 Park Avenue, Columbus, WI 53925 | 2007-04-19 |
| 1164487328 | Drs Beck & Becker Sc | Dentist | 1505 Park Ave., Columbus, WI 53925 | 2006-04-19 |
| 1245864735 | Margaret Mary Frank | Pharmacist | 1500 W James St, Columbus, WI 53925 | 2020-02-24 |
| 1487094686 | Tiana M Imhoff | Physician Assistant | 1515 Park Ave, Columbus, WI 53925 | 2013-07-02 |
| 1821343401 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 200 Commerce Dr, Columbus, WI 53925 | 2012-07-19 |
| 1689987372 | Erin Renee Hills | Nurse Practitioner | 1515 Park Ave, Columbus, WI 53925 | 2010-07-22 |
| 1184723645 | James Michael Beck | Dentist | 1505 Park Ave., Columbus, WI 53925 | 2006-09-21 |
| 1194824649 | William James Becker | Dentist | 1505 Park Ave., Columbus, WI 53925 | 2006-09-21 |
| 1225004245 | Nazi S Khan | Internal Medicine | 1511 Park Ave, Columbus, WI 53925 | 2006-02-28 |
| Find all providers in zip 53925 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497176994 | Independence Home Therapy, LLC | Clinic/Center | 2785 Regaldo Dr, Columbus, OH 43219-8131 | 2013-12-30 |
| 1336358241 | Physiotherapy Associates Inc | Clinic/Center | 8351 N High St, Ste 180, Columbus, OH 43235-1440 | 2007-05-21 |
| 1952434508 | Physiotherapy Associates Inc | Clinic/Center | 3075 Middle Dr, Suite B, Columbus, IN 47203-4483 | 2007-03-13 |
| 1467413112 | Select Physical Therapy of Ohio Limited Partnership | Clinic/Center | 783 Bethel Rd, Columbus, OH 43214-1901 | 2006-03-31 |
| 1356302087 | Select Physical Therpay of Ohio Limited Partnership | Clinic/Center | 4014 Venture Ct, Columbus, OH 43228-9600 | 2006-03-31 |
| 1356994388 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1479 Grove Park Dr, Columbus, GA 31904 | 2019-07-18 |
| 1316329352 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 6850 River Rd, C/o Riverplace, Columbus, GA 31904-2388 | 2015-06-26 |
| 1609151893 | Independent Physical Therapy of Georgia, LLC | Clinic/Center | 2616 Warm Springs Rd Ste B, Columbus, GA 31904-5688 | 2011-10-19 |
| 1154484343 | Heartland Rehabilitation Services | Clinic/Center | 5536 N Hamilton Rd, Columbus, OH 43230-1322 | 2006-12-18 |
| 1326106154 | Heartland Rehabilitation Services of Ohio LLC | Clinic/Center | 5536 N Hamilton Rd, Columbus, OH 43230-1322 | 2006-12-05 |
| Find all providers in COLUMBUS | ||||
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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.