NPIMap

Organization Active NPI

Powerback Rehabilitation LLC

  • Physical Therapist
  • Shelby Township, MI
National Provider Identifier
1912226366
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
POWERBACK REHABILITATION LLC
Practice address
46471 Hayes Rd
Shelby Township, MI 48315-5504
Phone
(586) 566-3736
NPI assigned
May 25, 2010
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ian Oppel
Title
Coo
Phone
(980) 254-7007

Corporate family (same tax ID) 10

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 160

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 160

Medicare participation

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

All facility ownership & control disclosures 25

Medicare enrollment files

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20101207000651 MI Part B Supplier - Clinic/Group Practice 2365359932 Receives reassigned benefits from 157 practitioners
Practice locations: Lansing, MI; Lapeer, MI; Midland, MI; Mt Pleasant, MI; Owosso, MI; Oxford, MI; Portage, MI; Rochester, MI…

National Provider Directory

National Provider Directory
Tax ID family
Genesis Rehab Serv (209 organizations share this tax ID)

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

NPPES NPI Registry

Primary practice location

46471 Hayes Rd
Shelby Township, MI 48315-5504

Mailing address

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

Other names 1

NPPES NPI Registry
  • Powerback Rehabilitation Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 11, 2025.

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1912226366",
    "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": "46471 HAYES RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483155504",
            "telephone_number": "586-566-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWERBACK REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "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": "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Powerback Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby Township, MI

Sources for this page

Verify at the official NPI Registry.