POWERBACK REHABILITATION
NPI 1982018362
Physical Therapist in O Fallon, IL

Active since June 13, 2014
1050 FOUNTAIN LAKES DR, O FALLON, IL 62269(779) 713-0903 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 21, 2025, Jul 26, 2023, Feb 24, 2023 and 4 more (7 updates tracked since 2017).

About Powerback Rehabilitation NPPES

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

POWERBACK REHABILITATION (NPI 1982018362) is a healthcare organization registered as a physical therapist in O Fallon, Illinois and active in the NPI registry since June 2014. The organization lists Carl Anthony Shrom, Ceo, as its authorized official.

NPPES Registry Identity

NPI1982018362
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NamePOWERBACK REHABILITATION LLC
Location Address1050 FOUNTAIN LAKES DRO Fallon, IL 62269-2595
Mailing Address101 E State St, C/o Business DevelopmentKennett Square, PA 19348-3109 · (800) 728-8808
Organization SubpartNo
Authorized OfficialCarl Anthony ShromCeo · (215) 896-0422
Enumeration DateJune 13, 2014
Last NPPES UpdateFebruary 24, 20237 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2023
✔ NPI 1982018362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
1050 FOUNTAIN LAKES DR, O Fallon, IL 62269

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Powerback Rehabilitation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

47

Medicare enrollment records show 47 clinicians reassign Medicare billing to Powerback Rehabilitation, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Physical Therapist in Private Practice19
Qualified Speech Language Pathologist15
Occupational Therapist in Private Practice13

Nearest to this location (20)

See all 47
Physical Therapist in Private Practice
NPI 1407255771
1050 FOUNTAIN LAKES DR
O Fallon, IL 62269
(779) 713-0903
Same address
Occupational Therapist in Private Practice
NPI 1841627403
1533 WILLIAM LN
Swansea, IL 62226
(630) 853-0139
2.0 mi
Qualified Speech Language Pathologist
NPI 1811789167
314 BARRETT LAKE DR
Swansea, IL 62226
(618) 791-6518
✔ Accepts Medicare2.7 mi
Occupational Therapist in Private Practice
NPI 1134836786
1022 E WESLEY DR
O Fallon, IL 62269
(618) 744-6613
✔ Accepts Medicare3.2 mi
Qualified Speech Language Pathologist
NPI 1124476957
1022 E WESLEY DR
O Fallon, IL 62269
(618) 607-5081
✔ Accepts Medicare3.2 mi
Qualified Speech Language Pathologist
NPI 1043984891
100 ROSEWOOD VILLAGE DR
Swansea, IL 62226
(618) 236-1391
✔ Accepts Medicare3.3 mi
Occupational Therapist in Private Practice
NPI 1457920571
8431 BRAESWOOD ESTATES DR
O Fallon, IL 62269
(618) 792-4358
4.2 mi
Physical Therapist in Private Practice
NPI 1710369574
4700 MEMORIAL DR STE 340
Belleville, IL 62226
(618) 234-9884
✔ Accepts Medicare4.9 mi
Qualified Speech Language Pathologist
NPI 1801911144
206 WINTERBERRY DR
Belleville, IL 62220
(618) 567-9654
✔ Accepts Medicare6.3 mi
Physical Therapist in Private Practice
NPI 1639175086
2136 VADALABENE DR
Maryville, IL 62062
(618) 288-4677
✔ Accepts Medicare11 mi
Occupational Therapist in Private Practice
NPI 1609023431
6800 STATE ROUTE 162
Maryville, IL 62062
(618) 391-5624
12 mi
Physical Therapist in Private Practice
NPI 1134647902
3354 JEROME LN
Cahokia, IL 62206
(618) 337-9400
✔ Accepts Medicare12 mi
Occupational Therapist in Private Practice
NPI 1669044723
980 E BROADWAY
Trenton, IL 62293
(618) 224-9465
✔ Accepts Medicare13 mi
Physical Therapist in Private Practice
NPI 1396595716
3450 VILLAGE LN
Granite City, IL 62040
(618) 931-3988
✔ Accepts Medicare14 mi
Qualified Speech Language Pathologist
NPI 1346597028
1095 UNIVERSITY DR
Edwardsville, IL 62025
(618) 656-1081
16 mi
Occupational Therapist in Private Practice
NPI 1881003572
473 BUENA VISTA ST
Edwardsville, IL 62025
(618) 830-2666
✔ Accepts Medicare16 mi
Qualified Speech Language Pathologist
NPI 1457616625
3393 VENHAUS RD
Trenton, IL 62293
(618) 741-7226
16 mi
Physical Therapist in Private Practice
NPI 1720354889
1000 ELEVEN S STE 1B
Columbia, IL 62236
(618) 281-9699
17 mi
Qualified Speech Language Pathologist
NPI 1205627247
2 S HOSPITAL DR
Murphysboro, IL 62966
(618) 684-3156
✔ Accepts Medicare70 mi
Physical Therapist in Private Practice
NPI 1124305842
701 N 1ST ST
Springfield, IL 62781
(217) 788-3300
✔ Accepts Medicare87 mi
See all 47 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1982018362. It was assigned to this organization in the NPPES registry on June 13, 2014. The provider is doing business as Powerback Rehabilitation.

Where is Powerback Rehabilitation LLC located?

Powerback Rehabilitation LLC is located at 1050 Fountain Lakes Dr, O Fallon, IL 62269. The listed phone number is (779) 713-0903.

What is Powerback Rehabilitation LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Powerback Rehabilitation LLC enrolled in Medicare?

Yes. Powerback Rehabilitation LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Powerback Rehabilitation LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 47 clinicians in 3 Medicare specialties reassign their Medicare billing to Powerback Rehabilitation LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (19), Qualified Speech Language Pathologist (15) and Occupational Therapist in Private Practice (13). Of these, 1 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Powerback Rehabilitation LLC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Powerback Rehabilitation LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Powerback Rehabilitation LLC was last updated on February 24, 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.