POWERBACK REHABILITATION LLC
NPI 1598742207
Clinic/Center - Rehabilitation in Northlake, IL
- 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 Northlake, Illinois operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1598742207 assigned on December 2005. 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. Powerback Rehabilitation Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Carl Anthony Shrom (Ceo)
- NPI
- 1598742207 Verify this NPI
- Provider Name
- POWERBACK REHABILITATION LLC
- Entity Type
- Organization
- Location Address
- 401 W LAKE ST NORTHLAKE, IL 60164
- Location Phone
- (708) 384-8073
- 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
- 12-23-2005
- Last Update Date
- 02-27-2023
- Code Navigator
Location Map
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
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
| 2 | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | |
| 3 | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
NORTHLAKE, IL 60164
NORTHLAKE, IL 60164
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1598742207, enumerated as an "organization" on December 23, 2005.
The provider is located at 401 W LAKE ST NORTHLAKE, IL 60164 and the phone number is (708) 384-8073.
Clinic/Center with taxonomy code 261QR0400X and a focus in Rehabilitation.
