POWERBACK REHABILITATION LLC
NPI 1124413711
Clinic/Center - Rehabilitation in Kensington, MD

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QR0400X and a focus in Rehabilitation.

Active since April 01, 2015

3620 LITTLEDALE RD, C/O KENSINGTON PARK, KENSINGTON, MD 20895(301) 946-7700 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 27, 2023, Oct 20, 2022, Feb 13, 2018 and 1 more (4 updates tracked since 2015).

Table of Contents

NPI Profile Information
Primary Taxonomy
Authorized Official
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Rehabilitation

About POWERBACK REHABILITATION LLC

This page provides the complete NPI Profile along with additional information for Powerback Rehabilitation Llc, a provider established in Kensington, Maryland operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1124413711 assigned on April 2015. The practitioner's primary taxonomy code is 261QR0400X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Carl Anthony Shrom (Ceo)

NPI: 1124413711 Verify this NPI
Provider Name: POWERBACK REHABILITATION LLC
Entity Type: Organization
Location Address: 3620 LITTLEDALE RD C/O KENSINGTON PARK KENSINGTON, MD 20895
Location Phone: (301) 946-7700
Mailing Address: 101 E STATE ST C/O AMY NUNEMAKER KENNETT SQUARE, PA 19348
Mailing Phone: (610) 925-4560
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 04-01-2015
Last Update Date: 02-27-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Rehabilitation
Taxonomy Code: 261QR0400X
Type: Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: CARL ANTHONY SHROM
Authorized Official Title: CEO
Authorized Official Phone: (215) 896-0422