MEDICARE: EMPOWERME REHABILITATION, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0400X	Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1043954977
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPOWERME REHABILITATION, LLC

Provider Business Mailing Address
First Line	:	1335 STRASSNER DR
Second Line	:
City	:	BRENTWOOD
State	:	MO
Zip	:	63144-1872
Country	:	US
Telephone Number	:	844-502-7996
Fax Number	:

Provider Business Practice Location Address
First Line	:	15055 N ELDRIDGE PKWY
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77429-3668
Country	:	US
Telephone Number	:	844-502-7996
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT OF FINANCE
Name	:	DAVID CHURCH
Credential	:
Telephone Number	:	618-972-5228

Provider Enumeration Date	:	04/26/2022
Last Update Date	:	10/02/2024

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