# POWERBACK REHABILITATION LLC

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

## Provider details

- **NPI number:** 1316217490
- **Authorized official:** CARL SHROM (CEO)
- **Authorized official phone:** (215) 896-0422

## Contact information

- **Practice address:** 945 TENDERFOOT HILL RD, COLORADO SPRINGS, CO 80906-3920
- **Practice address phone:** (719) 576-2122
- **Mailing address:** 101 E STATE ST, C/O AMY NUNEMAKER, KENNETT SQUARE, PA 19348-3109
- **Mailing address phone:** (610) 925-4560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/06/2012
- **Last updated:** 02/27/2023