Provider Demographics
NPI:1366202350
Name:ENCORE THERAPY LLC
Entity type:Organization
Organization Name:ENCORE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PRIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAVADIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:737-243-1600
Mailing Address - Street 1:1607 RANCH ROAD 620 N STE 500
Mailing Address - Street 2:
Mailing Address - City:LAKEWAY
Mailing Address - State:TX
Mailing Address - Zip Code:78734-2331
Mailing Address - Country:US
Mailing Address - Phone:737-243-1600
Mailing Address - Fax:737-243-1601
Practice Address - Street 1:1607 RANCH ROAD 620 N STE 500
Practice Address - Street 2:
Practice Address - City:LAKEWAY
Practice Address - State:TX
Practice Address - Zip Code:78734-2331
Practice Address - Country:US
Practice Address - Phone:737-243-1600
Practice Address - Fax:737-243-1601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty