Powerback Rehabilitation LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

POWERBACK REHABILITATION LLC

Doing business as

Powerback Rehabilitation

Practice address

4150 Indian River Blvd
Vero Beach, FL 32967-7224

Phone

(772) 778-5961

NPI assigned

Dec 23, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ian Oppel

Title

Coo

Phone

(980) 254-7007

Specialties & licenses 5

Addresses

Other names 1

• Powerback Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in FL, TN2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • Nashville, TN
  • NPI 1356102065

  O20120323000238

  Same enrollment

Locations (25 of 41)

All facility ownership & control disclosures 25

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Anne Evans, MSPT

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1922439249
  NPD (past)
• James Fares

  • Physical Therapist
  • North Richland Hills, TX
  • NPI 1922647692
  NPD (past)
• Cristina Garcia, OTR

  • Occupational Therapist
  • Fort Worth, TX
  • NPI 1508394164
  NPD (past)
• Donna Marie Hager

  • Occupational Therapist
  • Virginia Beach, VA
  • NPI 1518472521
  NPD (past)
• Kelly Lynn Hart, MS, CCC-SLP

  • Speech-Language Pathologist
  • Chesterton, IN
  • NPI 1114443793
  NPD (past)
• Britney Helmuth

  • Occupational Therapist
  • Sigel, IL
  • NPI 1770986358
  NPD (past)
• Andrew T Kratt, MS OTR/L

  • Occupational Therapist
  • Virginia Beach, VA
  • NPI 1194036004
  NPD (past)
• Elyssa Vizzier, OTR/L

  • Occupational Therapist
  • Virginia Beach, VA
  • NPI 1144685850
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1003893637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "address_2": "C/O AMY NUNEMAKER",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "800-728-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 INDIAN RIVER BLVD",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329677224",
            "telephone_number": "772-778-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWERBACK REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-23",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "OPPEL",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "980-254-7007"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Powerback Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Jean Postis
• Keith A. Powell, BCABA, CMHP
• Patricha Wilby Powell
• Sharon Powell, APRN
• Stephanie Nicole Powell, PHARMD
• Powerback Rehabilitation LLC (Powerback Rehabilitation)
• Colleen Powers
• Ashley Prasch
• Premier Behavioral Healthcare by Dr P PLLC
• Premier Cardiology of Vero Beach

• Rehabilitation Clinic/Center in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.