Powerback Rehabilitation LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

POWERBACK REHABILITATION LLC

Practice address

44003 Partridge Creek Blvd
Clinton TWP, MI 48038-0002

Phone

(586) 231-5580

NPI assigned

Apr 28, 2015

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 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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 10

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

• Genesis

  • Skilled Nursing Facility
  • Negaunee, MI
  • NPI 1750647350
  NPD tax ID
• Genesis Eldercare Rehabilitation Services LLC

  • Rehabilitation Clinic/Center
  • Mt Pleasant, MI
  • NPI 1093236291
  NPD tax ID
• Powerback Rehabilitation LLC

  • Physical Therapist
  • Rockford, MI
  • NPI 1144607284
  NPD tax ID
• Powerback Rehabilitation LLC

  • Physical Therapist
  • Frankenmuth, MI
  • NPI 1417543174
  NPD tax ID
• Powerback Rehabilitation LLC

  • Physical Therapist
  • Portage, MI
  • NPI 1427521723
  NPD tax ID
• Powerback Rehabilitation LLC

  • Physical Therapist
  • Grand Ledge, MI
  • NPI 1447619036
  NPD tax ID
• Powerback Rehabilitation LLC

  • Physical Therapist
  • Midland, MI
  • NPI 1538790241
  NPD tax ID
• Powerback Rehabilitation LLC

  • Physical Therapist
  • Petoskey, MI
  • NPI 1780316547
  NPD tax ID
• Powerback Rehabilitation LLC

  • Physical Therapist
  • Jackson, MI
  • NPI 1881071926
  NPD tax ID
• Powerback Rehabilitation LLC

  • Physical Therapist
  • Shelby Township, MI
  • NPI 1912226366
  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": "1430179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1427435569",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44003 PARTRIDGE CREEK BLVD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480380002",
            "telephone_number": "586-231-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWERBACK REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-28",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "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": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "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": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Monica Pop, M.D.
• Positive Healing Counseling PLLC
• Jimmie Potts Jr.
• Ava Ann Powell, D.O.
• Kateisha Powell
• John R Pradko, D.O.
• Paige Elizabeth Pradko, L.P.C.
• Shivanhalli Prakash, MD
• Preferred Hospitalists of Michigan
• Enejda Prenga

• Physical Therapist in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.