POWERBACK REHABILITATION LLC
NPI 1972912384
Clinic/Center - Rehabilitation in Tampa, FL

NPI Status: Active since August 11, 2014

Contact Information

13005 COMMUNITY CAMPUS DR
TAMPA, FL
ZIP 33625
Phone: (813) 962-7138

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Rehabilitation
Accepts Insurance

About POWERBACK REHABILITATION LLC

This page provides the complete NPI Profile along with additional information for Powerback Rehabilitation Llc, a provider established in Tampa, Florida operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1972912384 assigned on August 2014. The practitioner's primary taxonomy code is 261QR0400X. The provider is registered as an organization and their NPI record was last updated February 2025. The provider's . The authorized official of this NPI record is Carl Anthony Shrom (Ceo)

NPI: 1972912384
Provider Legal Name: POWERBACK REHABILITATION LLC
Other Organization Name
Other Name Type: (6)
Entity Type: Organization
Location Address: 13005 COMMUNITY CAMPUS DR TAMPA, FL 33625
Location Phone: (813) 962-7138
Mailing Address: 101 E STATE ST KENNETT SQUARE, PA 19348
Mailing Phone: (800) 728-8808
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 08-11-2014
Last Update Date: 02-11-2025
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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	261Q00000X	Ambulatory Health Care Facilities	Clinic/Center

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Aetna CVS Health

Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: CARL ANTHONY SHROM
Authorized Official Title: CEO
Authorized Official Phone: (215) 896-0422

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	9	7	2	9	1	2	3	8	4
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	9	14	2	18	1	4	3	16
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 4 + 2 + 1 + 8 + 1 + 4 + 3 + 1 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 4									4

The NPI number 1972912384 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.