POWERBACK REHABILITATION LLC NPI 1033511704

NPI Information

  • NPI: 1033511704
  • Provider Name: POWERBACK REHABILITATION LLC
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • Doing Business As: POWERBACK REHABILITATION
  • Address: 1127 PERSINGER RD SW
    ROANOKE, VA
    ZIP 24015
  • Phone: (540) 343-1691

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NPI Details

POWERBACK REHABILITATION LLC is a rehabilitation clinic center in Roanoke, VA. POWERBACK REHABILITATION LLC NPI is 1033511704. The provider is registered as an organization entity type.
The provider Is Doing Business As Powerback Rehabilitation.

The provider's business location address is:

1127 PERSINGER RD SW
ROANOKE, VA
ZIP 24015-829
Phone: (540) 343-1691

The provider's authorized official is Carl Anthony Shrom .
The authorized official title is Ceo and has the following contact phone number (215) 896-0422.

The enumeration date for this NPI number is 9/24/2014 and was last updated on 3/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0400XClinic/CenterRehabilitationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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