Powerback Rehabilitation LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

POWERBACK REHABILITATION LLC

Doing business as

Powerback Rehabilitation

Practice address

501 SE Flower Mound Rd
Lawton, OK 73501-6388

Phone

(580) 771-3266

NPI assigned

Mar 22, 2018

Last updated

Mar 6, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ian OppelNPI 1245002708

Title

Coo

Phone

(980) 254-7007

Specialties & licenses 3

Addresses

Other names 1

• Powerback Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Tax ID family

Genesis Eldercare Rehab LLC209 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

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

• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Rehabilitation Clinic/Center
  • Oklahoma City, OK
  • NPI 1093498610
  NPD tax ID
• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Rehabilitation Clinic/Center
  • Norman, OK
  • NPI 1205537156
  NPD tax ID

Locations

All facility ownership & control disclosures 25

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

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alison Renee Donnelly, OTR/L

  • Occupational Therapist
  • Mustang, OK
  • NPI 1477816015
  Medicare reassignment Care Compare group NPD
• Julie Ann Linford

  • Occupational Therapist
  • Norman, OK
  • NPI 1669002218
  Medicare reassignment Care Compare group NPD
• Kurt Straughn

  • Physical Therapist
  • Norman, OK
  • NPI 1912116302
  Medicare reassignment Care Compare group NPD
• Amy Holloway, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Norman, OK
  • NPI 1265816284
  Medicare reassignment Care Compare group
• Maria Salvacion Barron, PHYSICAL THERAPIST

  • Physical Therapist
  • Norman, OK
  • NPI 1114712296
  Medicare reassignment NPD
• Elaine A. Boda, P.T.

  • Physical Therapist
  • Oklahoma City, OK
  • NPI 1710005467
  Medicare reassignment NPD
• Tava Nanette Bronston, OTRL

  • Occupational Therapist
  • Claremore, OK
  • NPI 1760459853
  Medicare reassignment NPD
• Mikaela Doyle

  • Speech-Language Pathologist
  • Oklahoma City, OK
  • NPI 1295472769
  Medicare reassignment NPD
• Cindy L Guthrie, M.S.-SLP

  • Speech-Language Pathologist
  • Claremore, OK
  • NPI 1043440878
  Medicare reassignment NPD
• Elizabeth Agre, PT, DPT

  • Physical Therapist
  • Fort Defiance, AZ
  • NPI 1891268280

  OK

  Medicare reassignment NPD
• Mini Thottathil Jose, DPT

  • Physical Therapist
  • San Marcos, TX
  • NPI 1932618907

  OK

  Medicare reassignment NPD
• Tiffany Brooke Adams, OTR

  • Occupational Therapist
  • Oklahoma City, OK
  • NPI 1548721418
  Medicare reassignment

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1104320233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "610-925-4560",
            "fax_number": "610-347-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SE FLOWER MOUND RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735016388",
            "telephone_number": "580-771-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWERBACK REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-22",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "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": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Powerback Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Porterfield
• Manolito Jose Portillo II
• Gregory D Powell, M.D.
• Karla Sue Powell, R.N.
• Linda Carol Powell, SLP
• Powers & Powers, Inc (PPS Healing Hearts of SW Oklahoma)
• Powers Powers & Slagle LLC (Healing Hearts of SW Oklahoma)
• Starsha Powers
• Trevor Cobb Powers
• Prairie Rose Medical Group, PLLC (Southwest Oklahoma Healing & Hyperbarics)

• Physical Therapist in Lawton, OK
• Providers in Lawton, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.