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POWERBACK REHABILITATION
NPI 1265889158
Clinic/Center - Rehabilitation in Beaver Dam, WI

Active since May 20, 2016
104 FAKES CT, C/O LANDMARK AT CHARLESTON HOUSE, BEAVER DAM, WI 53916(610) 925-4560 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 6, 2023, Feb 14, 2018, May 20, 2016 (3 updates tracked since 2016).

About Powerback Rehabilitation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POWERBACK REHABILITATION (NPI 1265889158) is a healthcare organization registered as a rehabilitation in Beaver Dam, Wisconsin and active in the NPI registry since May 2016. The organization lists Carl Anthony Shrom, Ceo, as its authorized official.

NPPES Registry Identity

NPI1265889158
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NamePOWERBACK REHABILITATION LLC
Location Address104 FAKES CT, C/O LANDMARK AT CHARLESTON HOUSEBeaver Dam, WI 53916-2699
Mailing Address101 E State St, C/o Amy NunemakerKennett Square, PA 19348-3109 · (610) 925-4560
Phone(610) 925-4560
Organization SubpartNo
Authorized OfficialCarl Anthony ShromCeo · (215) 896-0422
Enumeration DateMay 20, 2016
Last NPPES UpdateMarch 6, 20233 updates tracked since enumeration
NPPES CertifiedMarch 6, 2023
✔ NPI 1265889158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
104 FAKES CT, Beaver Dam, WI 53916
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Other Names 1

Doing Business AsPowerback Rehabilitation

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ADAM ALTENBURG
Physical Therapy Assistant
104 FAKES CT
BEAVER DAM, WI 53916
Dodge County (920) 356-9818
BEAVER DAM ASSISTED LIVING, LLC
Assisted Living Facility
104 FAKES CT
BEAVER DAM, WI 53916
Dodge County (920) 356-9818
NICK GAFFNEY PTA
Physical Therapy Assistant
104 FAKES CT
BEAVER DAM, WI 53916
Dodge County (920) 356-9818
MRS. KIM MARIE VANDER GALIEN COTA
Occupational Therapy Assistant
104 FAKES CT
BEAVER DAM, WI 53916
Dodge County (920) 219-4941
BEAVER DAM AL OPERATIONS LLC
Assisted Living Facility
104 FAKES CT
BEAVER DAM, WI 53916
Dodge County (773) 825-3336
LIBERTY SIEBRECHT
Speech-Language Pathologist
104 FAKES CT
BEAVER DAM, WI 53916
Dodge County (920) 356-9818
AMY E NEUBECKER M.S. SLP-CCC
Speech-Language Pathologist
104 FAKES CT
BEAVER DAM, WI 53916
Dodge County (920) 392-5122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Powerback Rehabilitation LLC's NPI number?

The NPI number for Powerback Rehabilitation LLC is 1265889158. It was assigned to this organization in the NPPES registry on May 20, 2016. The provider is doing business as Powerback Rehabilitation.

Where is Powerback Rehabilitation LLC located?

Powerback Rehabilitation LLC is located at 104 Fakes Ct C/O Landmark At Charleston House, Beaver Dam, WI 53916. The listed phone number is (610) 925-4560.

What is Powerback Rehabilitation LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

What insurance does Powerback Rehabilitation LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Powerback Rehabilitation LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Powerback Rehabilitation LLC was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.