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
1225100000XPhysical Therapist
2225X00000XOccupational Therapist
3235Z00000XSpeech-Language Pathologist
4261QR0400XRehabilitation Clinic/Center

General Provider Information

NPI Number : 1568440253
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 : 5700 MOCKINGBIRD LN
Second Line :
City : GREENDALE
State : WI
Zip : 53129-1442
Country : US
Telephone Number : 414-423-1399
Fax Number :
Authorized Official
Title or Position : CEO
Name : CARL ANTHONY SHROM
Credential :
Telephone Number : 215-896-0422
Provider Enumeration Date : 01/04/2006
Last Update Date : 03/06/2023

Similar Medicare Providers

1861797201 — SHAWN ANN HANNEMANN M.S.
Practice Location Address:
5700 MOCKINGBIRD LN
GREENDALE, WI
53129-1442
Practice Phone: 414-421-9600
Practice Fax:
1689954323 — MRS. STACY LYNN CANNARIATO PT
Practice Location Address:
5700 MOCKINGBIRD LN
GREENDALE, WI
53129-1442
Practice Phone: 414-423-1399
Practice Fax:
1063796084 — VICKI PIOTROWSKI
Practice Location Address:
5700 MOCKINGBIRD LN
GREENDALE, WI
53129-1442
Practice Phone: 414-423-1399
Practice Fax:
1740542026 — MONICA M FLESCH COTA
Practice Location Address:
5700 MOCKINGBIRD LN
GREENDALE, WI
53129-1442
Practice Phone: 414-423-1399
Practice Fax: 414-423-1473
1053758052 — DR. MATTHEW JAMES KLINKER DPT
Practice Location Address:
5700 MOCKINGBIRD LN
GREENDALE, WI
53129-1442
Practice Phone: 708-704-5470
Practice Fax:
1427488915 — MRS. STEPHANIE CLAIRE FLOYD
Practice Location Address:
5700 MOCKINGBIRD LN
GREENDALE, WI
53129-1442
Practice Phone: 414-235-9170
Practice Fax: 414-235-9417

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.