POWERBACK REHABILITATION LLC NPI 1629306048

NPI Information

  • NPI: 1629306048
  • Provider Name: POWERBACK REHABILITATION LLC
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • Doing Business As: POWERBACK REHABILITATION
  • Address: 1395 JUNGERMANN RD
    SUITE D
    SAINT PETERS, MO
    ZIP 63376
  • Phone: (636) 477-2690

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NPI Details

POWERBACK REHABILITATION LLC is a rehabilitation clinic center in Saint Peters, MO. POWERBACK REHABILITATION LLC NPI is 1629306048. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Powerback Rehabilitation.

The provider's business location address is:

1395 JUNGERMANN RD
SUITE D
SAINT PETERS, MO
ZIP 63376-369
Phone: (636) 477-2690

The provider's authorized official is Carl 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 11/23/2009 and was last updated on 2/21/2023.

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
1225100000XPhysical TherapistNo
2225X00000XOccupational TherapistNo
3235Z00000XSpeech-Language PathologistNo
4261QR0400XClinic/CenterRehabilitationMISSOURIYes

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: 3/30/2025

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