NPIMap

Empowerme Rehabilitation, LLC

Organization Active NPI Rehabilitation Clinic/Center · Fort Wayne, IN

NPI 1154017481 · NPPES record last updated Oct 2, 2024

Key facts

NPI
1154017481
Entity type
Organization (NPI type 2)
Primary specialty
Rehabilitation Clinic/Center 261QR0400X
Legal business name
EMPOWERME REHABILITATION, LLC
Practice address
9210 Maysville Rd
Fort Wayne, IN 46815-5889
Phone
(844) 502-7996
NPI assigned
Apr 11, 2023
Organization subpart
No

Authorized official

Name
David Church
Title
VP of Finance
Phone
(618) 972-5228

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Practitioners 423

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

View all 423

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20230505002336 IN Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 2769723162 Practice locations: Fort Wayne, IN

National Provider Directory

Tax ID family
Empowerme Rehabilitation LLC (35 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Yes

Addresses

Primary practice location

9210 Maysville Rd
Fort Wayne, IN 46815-5889

Mailing address

1335 Strassner Dr
Brentwood, MO 63144-1872
Phone (844) 502-7996

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other CMS HIH

Other providers in Fort Wayne, IN

All providers in Fort Wayne, IN · Rehabilitation Clinic/Center in Indiana

Sources for this page

Verify at the official NPI Registry.