Powerback Rehabilitation LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

POWERBACK REHABILITATION LLC

Doing business as

Powerback Rehabilitation

Practice address

59 Wendell LN
Glastonbury, CT 06033-5023

Phone

(860) 294-9387

NPI assigned

Nov 6, 2025

Last updated

Nov 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 CT

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 5

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

• Genesis Eldercare Rehab SVCS

  • Skilled Nursing Facility
  • Naugatuck, CT
  • NPI 1194030577
  NPD tax ID
• Genesis Rehab Services

  • Skilled Nursing Facility
  • Wallingford, CT
  • NPI 1699905794
  NPD tax ID
• Genesis Rehabilitation Services

  • Skilled Nursing Facility
  • South Windsor, CT
  • NPI 1275891012
  NPD tax ID
• Kimberly Hall South

  • Skilled Nursing Facility
  • Windsor, CT
  • NPI 1063656387
  NPD tax ID
• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Rehabilitation Clinic/Center
  • South Windsor, CT
  • NPI 1962079699
  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.

Practitioners 26

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.

• Parth Mukesh Desai, MSOT

  • Occupational Therapist
  • Naugatuck, CT
  • NPI 1316122401
  Medicare reassignment NPD
• Brian Isamu Aida

  • Physical Therapist
  • Portland, CT
  • NPI 1215053350
  Medicare reassignment
• Nicole Ann Bacon, PT

  • Physical Therapist
  • Bristol, CT
  • NPI 1437340361
  Medicare reassignment
• Ronald Narag Bancud

  • Physical Therapist
  • Watertown, CT
  • NPI 1386409050
  Medicare reassignment
• Allison Blake, OTR/L

  • Occupational Therapist
  • Watertown, CT
  • NPI 1730622390
  Medicare reassignment
• Heather Ann Buchetto

  • Occupational Therapist
  • North Branford, CT
  • NPI 1013612282
  Medicare reassignment
• Whitney Ann Burns, OTR/L

  • Occupational Therapist
  • South Windsor, CT
  • NPI 1790007987
  Medicare reassignment
• Kacey Busque

  • Physical Therapist
  • Manchester, CT
  • NPI 1962800540
  Medicare reassignment
• Alexandra Carso

  • Speech-Language Pathologist
  • New Britain, CT
  • NPI 1417355470
  Medicare reassignment
• Tenzin Chime, OTR/L

  • Occupational Therapist
  • Northford, CT
  • NPI 1669365094
  Medicare reassignment
• Sara Gersley Cooper

  • Speech-Language Pathologist
  • East Hartford, CT
  • NPI 1427431972
  Medicare reassignment
• Meghan Cote

  • Occupational Therapist
  • West Hartford, CT
  • NPI 1679012413
  Medicare reassignment

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

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1174493126",
    "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": "800-728-8808",
            "fax_number": "610-347-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 WENDELL LN",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060335023",
            "telephone_number": "860-294-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWERBACK REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "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": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Powerback Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon K Pool, DO
• Michael Popolizio
• Poppy Caregiving LLC
• Bianca Lynne Posta
• Sara Pourshahriari
• David Powers
• Kristen Powers
• Michael Powers, PSY.D.
• Holly Prasser, PT, DPT
• Alexandra Pratt Joe Pratt

• Physical Therapist in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Physical Therapist in Connecticut

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