Powerback Rehabilitation

LBN: Powerback Rehabilitation Llc
Powerback Rehabilitation is an health care organization with primary practice located at 1050 Fountain Lakes Dr , O Fallon IL 62269-2595. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Ambulatory Health Care Facilities / Rehabilitation. Ambulatory Health Care Facilities / Rehabilitation is the primary health care specialty. Powerback Rehabilitation Llc can be contacted via phone (779) 713-0903, or through Shrom, Carl Anthony via phone (215) 896-0422.

Contact Information

Primary practice address
1050 Fountain Lakes Dr O Fallon IL 62269-2595
Phone: (779) 713-0903
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shrom, Carl Anthony
Phone: (215) 896-0422

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1467133231
LBN Legal business name Powerback Rehabilitation Llc
DBA Doing business as Powerback Rehabilitation
Authorized official Shrom, Carl Anthony
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2023
Last updated Jul 10th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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