# POWERBACK REHABILITATION LLC

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

## Provider details

- **NPI number:** 1467133231
- **Authorized official:** IAN OPPEL (COO)
- **Authorized official phone:** (980) 254-7007

## Contact information

- **Practice address:** 1050 FOUNTAIN LAKES DR, O FALLON, IL 62269-2595
- **Practice address phone:** (779) 713-0903
- **Mailing address:** 101 E STATE ST, KENNETT SQUARE, PA 19348-3109
- **Mailing address phone:** (800) 728-8808

## 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:** 07/26/2023
- **Last updated:** 04/03/2025