Powerback Rehab

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

POWERBACK REHAB

Practice address

4115 State Road 91 Apt 207
Oshkosh, WI 54904-9224

Phone

(618) 554-2907

NPI assigned

Aug 9, 2024

Last updated

Aug 9, 2024By 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

Leah Avery, DPTNPI 1457028995

Title

DPT

Phone

(618) 554-2907

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Leah Avery, PT

  • Physical Therapist
  • Oshkosh, WI
  • NPI 1457028995
  NPD Authorized official

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1710718804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 STATE ROAD 91 APT 207",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549049224",
            "telephone_number": "618-554-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 STATE ROAD 91 APT 207",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549049224",
            "telephone_number": "618-554-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWERBACK REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "DPT",
        "authorized_official_telephone_number": "618-554-2907",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John William Poss, NP
• Marlee Potratz, BS
• Loren M. Potter, DO
• Stephanie Ross Potts, PHD
• Stacie K Pouh, RN
• Valerie A. Prajka, D.O.
• Denise M Prehn, MD
• Premise Health of Wisconsin Medical S C (Three Waves Health Clinic and Wellness Center)
• Prime Home Care Services LLC
• Jami Probst

• Home Health Agency in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Home Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.