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 1629306048

Powerback Rehabilitation LLC is a Physical Therapist in Saint Peters, Missouri. Licensed in Missouri. Registered with an NPI since 2009.

Licensed in
MO
In the registry since
2009
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

1395 Jungermann Rd Ste D
Saint Peters, MO 63376-7369
Phone: (636) 477-2690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1629306048
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Shrom — Ceo · (215) 896-0422
Other names Powerback Rehabilitation
NPI enumeratedNovember 23, 2009
Last updated in NPPESFebruary 21, 2023
Certification dateFebruary 21, 2023
Mailing address101 E State St, C/O Amy Nunemaker, Kennett Square, PA 19348-3109

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