Organization Active NPI

Powerback Rehabilitation LLC

  • Rehabilitation Clinic/Center
  • Cincinnati, OH
National Provider Identifier
1477944924
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
POWERBACK REHABILITATION LLC
Practice address
6201 Clough Pike
Cincinnati, OH 45244-3960
Phone
(513) 653-7183
NPI assigned
Feb 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

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

Addresses

Primary practice location

6201 Clough Pike
Cincinnati, OH 45244-3960

Mailing address

101 E State St
C/O Amy Nunemaker
Kennett Square, PA 19348-3109
Phone (610) 925-4560

Other names 1

  • Powerback Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150414001288 OH Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 2365359932 Practice locations: Cincinnati, OH; Fairfield Township, OH

National Provider Directory

National Provider Directory
Tax ID family
Genesis Rehab Serv209 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

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

Ownership & related parties

All facility ownership & control disclosures 25

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

FacilityTypeRoleSince
Sharon Care CenterLos Angeles, CA, CCN 055755 Skilled nursing facility Adp of the SNF Oct 1, 2024
The EarlwoodTorrance, CA, CCN 055032 Skilled nursing facility Adp of the SNF Feb 1, 2020
Montebello Care CenterMontebello, CA, CCN 055153 Skilled nursing facility Adp of the SNF Jun 1, 2020
Fountain View Subacute and Nursing CenterLos Angeles, CA, CCN 055111 Skilled nursing facility Adp of the SNF Jun 1, 2020
Rio Hondo Subacute and Nursing CenterMontebello, CA, CCN 056487 Skilled nursing facility Adp of the SNF Jun 1, 2020
The Heights of SummerlinLas Vegas, NV, CCN 295083 Skilled nursing facility Adp of the SNF Feb 1, 2020
Redstone HighlandsGreensburg, PA, CCN 396021 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jul 25, 2022
Jul 7, 2025
Bear Canyon Rehabilitation CenterAlbuquerque, NM, CCN 325125 Skilled nursing facility Adp of the SNF Oct 25, 2021
Clipboard HealthPhiladelphia, PA, CCN 395738 Skilled nursing facility Adp of the SNF Jul 1, 2024
Powerback RehabilitationAmbler, PA, CCN 395922 Skilled nursing facility Adp of the SNF Jul 1, 2024
Lopatcong CenterPhillipsburg, NJ, CCN 315202 Skilled nursing facility Adp of the SNF Feb 1, 2023
North Cape CenterNorth Cape May, NJ, CCN 315350 Skilled nursing facility Adp of the SNF Feb 1, 2020
Norriton Square Nursing and Rehabilitation CenterNorristown, PA, CCN 396009 Skilled nursing facility Adp of the SNF Jan 1, 2019
Mount Olive CenterMount Olive, NC, CCN 345126 Skilled nursing facility Adp of the SNF Jan 23, 2025
Pembroke CenterPembroke, NC, CCN 345409 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2019
Feb 4, 2025
Abbotts Creek CenterLexington, NC, CCN 345333 Skilled nursing facility Other (100%) Dec 1, 2023
Bel-Aire CenterNewport, VT, CCN 475049 Skilled nursing facility Adp of the SNF Jan 1, 2019
Lake Ridge CenterMoses Lake, WA, CCN 505261 Skilled nursing facility Adp of the SNF Jan 1, 2019
Gasconade Manor Nursing HomeOwensville, MO, CCN 265546 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Dec 1, 2014
Apr 15, 2025
Maple Glen CenterFairlawn, NJ, CCN 315328 Skilled nursing facility Adp of the SNF Jan 22, 2025
Troy Hills CenterParsippany, NJ, CCN 315138 Skilled nursing facility Adp of the SNF Feb 1, 2019
Cashmere Post AcuteCashmere, WA, CCN 505151 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2019
Nov 10, 2025
The Pavilion at Crescent LakeCrescent City, FL, CCN 105808 Skilled nursing facility Adp of the SNF May 1, 2018
The Pavilion at JacksonvilleJacksonville, FL, CCN 105826 Skilled nursing facility Adp of the SNF May 28, 2021
Respiratory and Rehab Center of RiCoventry, RI, CCN 415078 Skilled nursing facility Adp of the SNF May 23, 2025

NPI Registry JSON

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1477944924",
    "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": "6201 CLOUGH PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452443960",
            "telephone_number": "513-653-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWERBACK REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "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"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.