3485 Davisville Road Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

069002 Issued in PA

Legal business name

3485 DAVISVILLE ROAD OPERATIONS LLC

Doing business as

PowerBack Rehabilitation 3485 Davisville Road

Practice address

3485 Davisville Rd
Hatboro, PA 19040-4220

Phone

(215) 830-0400

Fax

(215) 830-0855

NPI assigned

Nov 28, 2007

Last updated

Oct 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

Michael T Berg

Title

Secretary

Phone

(610) 444-6350

Specialties & licenses 1

Addresses

Other names 1

• PowerBack Rehabilitation 3485 Davisville Road Doing business as

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1760664171",
    "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": "610-925-2009",
            "fax_number": "610-347-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 DAVISVILLE RD",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190404220",
            "telephone_number": "215-830-0400",
            "fax_number": "215-830-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3485 DAVISVILLE ROAD OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "610-444-6350"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "069002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PowerBack Rehabilitation 3485 Davisville Road",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Hatboro, PA
• Providers in Hatboro, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.