POWERBACK REHABILITATION LLC NPI 1083079131

NPI Information

NPI: 1083079131
Provider Name: POWERBACK REHABILITATION LLC

Doing Business As: POWERBACK REHABILITATION

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
12400 PRESTON RD
DALLAS, TX
ZIP 75230
Phone: (469) 899-0740
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POWERBACK REHABILITATION LLC is a rehabilitation clinic center in Dallas, TX. POWERBACK REHABILITATION LLC NPI is 1083079131. The provider is registered as an organization entity type.
The provider Is Doing Business As Powerback Rehabilitation.

The provider's business location address is:

12400 PRESTON RD
DALLAS, TX
ZIP 75230-866
Phone: (469) 899-0740

The provider's authorized official is Carl Anthony Shrom .
The authorized official title is Ceo and has the following contact phone number (215) 896-0422.

The enumeration date for this NPI number is 12/16/2015 and was last updated on 2/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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