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POWERBACK REHABILITATION LLC
NPI 1467133231
Clinic/Center - Rehabilitation in O Fallon, IL

Active since July 26, 2023
1050 FOUNTAIN LAKES DR, O FALLON, IL 62269(779) 713-0903 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 3, 2025, Jul 10, 2024, Jul 26, 2023 (3 updates tracked since 2023).

About Powerback Rehabilitation Llc NPPES

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

POWERBACK REHABILITATION LLC (NPI 1467133231), doing business as Powerback Rehabilitation, is a healthcare organization registered as a rehabilitation in O Fallon, Illinois and active in the NPI registry since July 2023. The organization lists Ian Oppel, Coo, as its authorized official.

NPPES Registry Identity

NPI1467133231
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NamePOWERBACK REHABILITATION LLC
Location Address1050 FOUNTAIN LAKES DRO Fallon, IL 62269-2595
Mailing Address101 E State StKennett Square, PA 19348-3109 · (800) 728-8808
Phone(779) 713-0903
Organization SubpartNo
Authorized OfficialIan OppelCoo · (980) 254-7007
Enumeration DateJuly 26, 2023
Last NPPES UpdateApril 3, 20253 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
✔ NPI 1467133231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
1050 FOUNTAIN LAKES DR, O Fallon, IL 62269
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Other Names 1

Doing Business AsPowerback Rehabilitation

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Other Providers at the Same Location NPPES 6

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

MICHELLE RENEE JENKEL
Physical Therapy Assistant
1050 FOUNTAIN LAKES DR
O FALLON, IL 62269
St. Clair County (877) 498-6452
STACY L SCHREIBER
Physical Therapist
1050 FOUNTAIN LAKES DR
O FALLON, IL 62269
St. Clair County (779) 713-0903
POWERBACK REHABILITATION LLC
Physical Therapist
1050 FOUNTAIN LAKES DR
O FALLON, IL 62269
St. Clair County (779) 713-0903
CARMIN RENEE SCHADOWSKY PTA
Physical Therapy Assistant
1050 FOUNTAIN LAKES DR
O FALLON, IL 62269
St. Clair County (618) 418-2375
STEPHANIE MICHELLE WHISENAND COTA/L
Occupational Therapy Assistant
1050 FOUNTAIN LAKES DR
O FALLON, IL 62269
St. Clair County (779) 713-0903
WSSH POWERBACK REHABILITATION SERVICES, LLC
Physical Therapist
1050 FOUNTAIN LAKES DR
O FALLON, IL 62269
St. Clair County (323) 928-9445

Frequently Asked Questions

What is POWERBACK REHABILITATION LLC's NPI number?

The NPI number assigned to this healthcare provider is 1467133231, enumerated as an "organization" on July 26, 2023.

Where is the provider located?

The provider is located at 1050 FOUNTAIN LAKES DR O FALLON, IL 62269 and the phone number is (779) 713-0903.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0400X and a focus in Rehabilitation.

What insurance does POWERBACK REHABILITATION LLC accept?

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health. Please consult your insurance carrier or call the provider to verify.