Powerback Rehabilitation LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

POWERBACK REHABILITATION LLC

Doing business as

Powerback Rehabilitation

Practice address

1401 N High St
C/O the Village at Wood's Edge
Franklin, VA 23851-1244

Phone

(757) 516-8149

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 4

Addresses

Other identifiers 1

Other names 1

• Powerback Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Outpatient physical therapy / speech pathology certification: CCN 496520

Legal name

GENESIS REHABILITATION SERVICES

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Nov 28, 1983

Last certification

Feb 3, 2022

Ownership / control type

Proprietary

Facility address

1401 North High Street
Franklin, VA 23851

Tax ID family

Genesis Rehab Serv209 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Genesis Health and Rehab

  • Occupational Therapy Assistant
  • Roanoke, VA
  • NPI 1700020880
  NPD tax ID
• Genesis Rehab Services

  • Skilled Nursing Facility
  • Fishersville, VA
  • NPI 1245763168
  NPD tax ID
• Genesis Rehab Services

  • Physical Therapist
  • Fredericksburg, VA
  • NPI 1386072056
  NPD tax ID
• Genesis Rehab Services

  • Nursing Facility/Intermediate Care Facility
  • Alexandria, VA
  • NPI 1477835569
  NPD tax ID
• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Rehabilitation Clinic/Center
  • Roanoke, VA
  • NPI 1033511704
  NPD tax ID
• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Rehabilitation Clinic/Center
  • Gainesville, VA
  • NPI 1083117436
  NPD tax ID
• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Rehabilitation Clinic/Center
  • Mechanicsville, VA
  • NPI 1447652102
  NPD tax ID
• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Rehabilitation Clinic/Center
  • Falls Church, VA
  • NPI 1477955136
  NPD tax ID
• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Rehabilitation Clinic/Center
  • Fredericksburg, VA
  • NPI 1588066245
  NPD tax ID
• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Rehabilitation Clinic/Center
  • Suffolk, VA
  • NPI 1609278373
  NPD tax ID
• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1790640761
  NPD tax ID
• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Rehabilitation Clinic/Center
  • Charlottesville, VA
  • NPI 1861894545
  NPD tax ID

Locations (25 of 28)

All facility ownership & control disclosures 25

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

Practitioners 6

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)
• Donna Marie Hager

  • Occupational Therapist
  • Virginia Beach, VA
  • NPI 1518472521
  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)
• Sheryl Finkenbiner, P.T.

  • Physical Therapist
  • Myrtle Beach, SC
  • NPI 1790734671
  NPD (past)
• Megan Elizabeth Mirasola, M.S.

  • Speech-Language Pathologist
  • Steubenville, OH
  • NPI 1639404924
  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": "1743638400000",
    "number": "1033196746",
    "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": "610-925-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N HIGH ST",
            "address_2": "C/O THE VILLAGE AT WOOD'S EDGE",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238511244",
            "telephone_number": "757-516-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWERBACK REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-23",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "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": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4978129",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Powerback Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann Cox Pierce, CSFA
• Kelly Noel Pierce
• James Michael Ponder, M.D.
• Kimberly Simmons Pope, RPH
• Clarence Leslie Powell Jr., M.D.
• Khalid Poyan
• Preferred Medical Transportation
• Psychotherapy Associates of Virginia LLC
• Quality Care Home Health LLC (QCHH)
• Wanda Queen

• Rehabilitation Clinic/Center in Franklin, VA
• Providers in Franklin, VA by specialty
• Rehabilitation Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.