POWERBACK REHABILITATION LLC
NPI 1598742207
Clinic/Center - Rehabilitation in Northlake, IL
About Powerback Rehabilitation Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
POWERBACK REHABILITATION LLC (NPI 1598742207) is a healthcare organization registered as a rehabilitation in Northlake, Illinois and active in the NPI registry since December 2005. The organization lists Carl Anthony Shrom, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Powerback Rehabilitation Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NORTHLAKE, IL 60164
NORTHLAKE, IL 60164
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 1598742207. It was assigned to this organization in the NPPES registry on December 23, 2005.
Where is Powerback Rehabilitation LLC located?
Powerback Rehabilitation LLC is located at 401 W Lake St, Northlake, IL 60164. The listed phone number is (708) 384-8073.
What is Powerback Rehabilitation LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.
Is Powerback Rehabilitation LLC enrolled in Medicare?
Yes. Powerback Rehabilitation LLC is registered in the Medicare PECOS enrollment system.
When is Powerback Rehabilitation LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Illinois, Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
When was this NPI record last updated?
The NPPES record for Powerback Rehabilitation LLC was last updated on February 27, 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.
# Powerback Rehabilitation Llc · NPI 1598742207
Rehabilitation organization in Northlake, Illinois. Organization record, active in the CMS NPPES registry since December 23, 2005.
## Identity
- **NPI:** 1598742207 (Entity type: Organization)
- **Enumerated:** December 23, 2005
- **Primary specialty:** Clinic/Center - Rehabilitation · taxonomy 261QR0400X
- **Organization subpart:** No
- **Authorized official:** Carl Shrom, CEO
## Practice location
- **Address:** 401 W LAKE ST, Northlake, IL 60164-2435
- **Phone:** (708) 384-8073
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Part A, Illinois, Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** February 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1598742207) · Data from the CMS NPPES public registry.