Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Powerback Rehabilitation LLC

Organization Rehabilitation Clinic/Center · NPI 1265889158

Powerback Rehabilitation LLC is a Rehabilitation Clinic/Center in Beaver Dam, Wisconsin. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

104 Fakes CT C/o Landmark At Charleston House
Beaver Dam, WI 53916-2699
Phone: (610) 925-4560
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Clinic/Center (primary) Taxonomy 261QR0400X

Record details

NPI number1265889158
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Shrom — Ceo · (215) 896-0422
Other names Powerback Rehabilitation
NPI enumeratedMay 20, 2016
Last updated in NPPESMarch 6, 2023
Certification dateMarch 6, 2023
Mailing address101 E State St, C/O Amy Nunemaker, Kennett Square, PA 19348-3109

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