Powerback Rehabilitation LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

POWERBACK REHABILITATION LLC

Doing business as

Powerback Rehabilitation

Practice address

1127 Persinger Rd SW
Roanoke, VA 24015-3829

Phone

(540) 343-1691

NPI assigned

Sep 24, 2014

Organization subpart

No

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

Authorized official

Name

Carl Anthony Shrom

Title

Ceo

Phone

(215) 896-0422

Specialties & licenses 1

Addresses

Other names 1

• Powerback Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Tax ID family

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

Organizations with this tax ID in the same state 13

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
  • Franklin, VA
  • NPI 1033196746
  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

All facility ownership & control disclosures 25

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

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1033511704",
    "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": "1127 PERSINGER RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240153829",
            "telephone_number": "540-343-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWERBACK REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "SHROM",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-896-0422"
    },
    "taxonomies": [
        {
            "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"
        }
    ]
}

• Jessica Powell
• Kerry Alexander Powell, M.D.
• Natalie K Powell, D.M.D
• Patricia Leigh Powell, LPC, LMFT
• Saowanee Wingworn Powell, DNP, APRN,FNP-C
• Dustin Powers, FNP
• Darrell Franklin Powledge, M.D., MPH
• Sujina Pradhan, M.D.
• Michelle Beth Prado, LPC
• Nisha Prakash, O.D.

• Rehabilitation Clinic/Center in Roanoke, VA
• Providers in Roanoke, 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 Mar 2, 2023; 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.