# POWERBACK REHABILITATION LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Genesis Rehabilitation Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063810158
- **Authorized official:** CARL ANTHONY SHROM (CEO)
- **Authorized official phone:** (215) 896-0422

## Contact information

- **Practice address:** 1640 S BLACK HORSE PIKE, WILLIAMSTOWN, NJ 08094-9247
- **Practice address phone:** (856) 252-7210
- **Mailing address:** 101 E STATE ST, KENNETT SQUARE, PA 19348-3109
- **Mailing address phone:** (800) 728-8808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/05/2014
- **Last updated:** 03/01/2023