Powerback Rehabilitation LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

POWERBACK REHABILITATION LLC

Practice address

1501 Sunshine Pkwy
Tavares, FL 32778-4496

Phone

(352) 508-7620

NPI assigned

May 19, 2014

Organization subpart

No

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

Authorized official

Name

Ian Oppel

Title

Coo

Phone

(980) 254-7007

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 22

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

• Enesis Rehab Services

  • Skilled Nursing Facility
  • Lake Worth, FL
  • NPI 1245571769
  NPD tax ID
• Genesis

  • Skilled Nursing Facility
  • Venice, FL
  • NPI 1013389568
  NPD tax ID
• Genesis Eldercare Rehabilitation Services LLC

  • Rehabilitation Clinic/Center
  • Pensacola, FL
  • NPI 1598437915
  NPD tax ID
• Genesis Rehab Services

  • Skilled Nursing Facility
  • Lakeland, FL
  • NPI 1093836207
  NPD tax ID
• Genesis Rehab Services

  • Skilled Nursing Facility
  • Lakeland, FL
  • NPI 1467575217
  NPD tax ID
• Genesis Rehab Services

  • Skilled Nursing Facility
  • Lakeland, FL
  • NPI 1649393497
  NPD tax ID
• Genesis Rehab Services

  • Skilled Nursing Facility
  • Palm Coast, FL
  • NPI 1720359185
  NPD tax ID
• Genesis Rehabilitation Services

  • Physical Therapy Assistant
  • Hudson, FL
  • NPI 1124337142
  NPD tax ID
• Genesis Rehabilitation Services

  • Skilled Nursing Facility
  • Lakeland, FL
  • NPI 1174646921
  NPD tax ID
• Genesis Rehabilitation Services

  • Speech-Language Pathologist
  • Hudson, FL
  • NPI 1215247333
  NPD tax ID
• Genesis Rehabilitation Services

  • Skilled Nursing Facility
  • Lakeland, FL
  • NPI 1356464101
  NPD tax ID
• Genesis Rehabilitation Services

  • Skilled Nursing Facility
  • Lakeland, FL
  • NPI 1386860807
  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.

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1477964823",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SUNSHINE PKWY",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784496",
            "telephone_number": "352-508-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWERBACK REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "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": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cynthia J. Popa, DDS
• Erica Humphrey Powell, CRNA
• Rosa Maria Prado, RMHCI
• Precision DME Billing LLC
• Preemptive Clinic
• Premier Surgical Center LLC
• Prime Medical Consultants, LLC

• Rehabilitation Clinic/Center in Tavares, FL
• Providers in Tavares, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.