# ENCORE REHABILITATION INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ENCORE REHABILITATION INC
- **Other names:** Encore Rehab of Grenada
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003233271
- **Legal business name:** ENCORE REHABILITATION INC
- **Authorized official:** KELSEY MCNUTT (PROVIDER CREDENTIALING)
- **Authorized official phone:** (256) 350-1764

## Contact information

- **Practice address:** 1322C SUNSET DR, GRENADA, MS 38901-4000
- **Practice address phone:** (228) 388-5714
- **Practice address fax:** (228) 388-0017
- **Mailing address:** 251 JOHNSTON ST SE STE 300, DECATUR, AL 35601-2535
- **Mailing address phone:** (256) 350-1764
- **Mailing address fax:** (256) 274-0234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/25/2014
- **Last updated:** 08/31/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 09015077 | — | MS |
