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

Q: What is the provider's specialty?

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

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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.

LIBERTY SIEBRECHT

Speech-Language Pathologist