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

Powerback Rehabilitation LLC

Organization Physical Therapist · NPI 1467133231

Powerback Rehabilitation LLC is a Physical Therapist in O Fallon, Illinois. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4
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

1050 Fountain Lakes Dr
O Fallon, IL 62269-2595
Phone: (779) 713-0903
Show map & directions

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

Specialties & licences

Rehabilitation Clinic/Center (primary) Taxonomy 261QR0400X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1467133231
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ian Oppel — Coo · (980) 254-7007
Other names Powerback Rehabilitation; Powerback Rehabilitation
NPI enumeratedJuly 26, 2023
Last updated in NPPESApril 3, 2025
Certification dateApril 3, 2025
Mailing address101 E State St, Kennett Square, PA 19348-3109

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