DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: POWERBACK REHABILITATION LLC

MEDICARE: POWERBACK 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
1261QR0400XRehabilitation Clinic/Center

General Provider Information

NPI Number : 1295117232
Entity Type Code : Organization
Provider Name (Legal Business Name) : POWERBACK REHABILITATION LLC
Provider Business Mailing Address
First Line : 101 E STATE ST
Second Line : C/O AMY NUNEMAKER
City : KENNETT SQUARE
State : PA
Zip : 19348-3109
Country : US
Telephone Number : 610-925-4560
Fax Number :
Provider Business Practice Location Address
First Line : 4000 OUT LOOK DR
Second Line : C/O BROADMORE AL AT TEAYS VALLEY
City : HURRICANE
State : WV
Zip : 25526-9467
Country : US
Telephone Number : 304-757-1517
Fax Number :
Authorized Official
Title or Position : COO
Name : IAN OPPEL
Credential :
Telephone Number : 980-254-7007
Provider Enumeration Date : 06/26/2015
Last Update Date : 07/23/2025

Similar Medicare Providers

1114851128 — WSSH POWERBACK REHABILITATION SERVICES, LLC
Practice Location Address:
4000 OUT LOOK DR
HURRICANE, WV
25526-9467
Practice Phone: 304-757-1517
Practice Fax:
1982736021 — STACY FROME CHRISTIAN DPT
Practice Location Address:
4000 OUT LOOK DR
HURRICANE, WV
25526-9467
Practice Phone: 304-757-4102
Practice Fax:
1245358134 — MRS. DEIDRE ANN KONDIK SLP
Practice Location Address:
4000 OUT LOOK DR
HURRICANE, WV
25526-9467
Practice Phone: 330-338-8862
Practice Fax:
1376662734 — MS. AMANDA LEIGH GUTHRIE COTA
Practice Location Address:
4000 OUT LOOK DR
HURRICANE, WV
25526-9467
Practice Phone: 304-757-4102
Practice Fax:
1508193749 — HATTIE FRAZIER COTA/L
Practice Location Address:
4000 OUT LOOK DR
HURRICANE, WV
25526-9467
Practice Phone: 304-757-4102
Practice Fax:
1194129304 — CHARLES EVANS II
Practice Location Address:
4000 OUT LOOK DR
HURRICANE, WV
25526-9467
Practice Phone: 304-757-4102
Practice Fax:

Directions to “POWERBACK REHABILITATION LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.