| Powerback Rehabilitation Llc | |
|
1022 E Wesley Dr, O Fallon, IL 62269-6107 | |
| (618) 607-5081 | |
| Not Available |
| Full Name | Powerback Rehabilitation Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1022 E Wesley Dr, O Fallon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982018362 | NPI | - | NPPES |
| Provider Name | Eric L Wessel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639175086 PECOS PAC ID: 5092728535 Enrollment ID: I20060728000184 |
| Provider Name | Jason Delaney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720354889 PECOS PAC ID: 5193976652 Enrollment ID: I20121108000658 |
| Provider Name | Stacy L Schreiber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407255771 PECOS PAC ID: 4688893761 Enrollment ID: I20140923000778 |
| Provider Name | Lauren C Britt |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609218874 PECOS PAC ID: 7214159771 Enrollment ID: I20141118000696 |
| Provider Name | Pamela Mack-rainey |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841627403 PECOS PAC ID: 1456642495 Enrollment ID: I20160622000088 |
| Provider Name | Julie Ann Reichert |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275803405 PECOS PAC ID: 4486930484 Enrollment ID: I20170405001606 |
| Provider Name | Alexandra S Lockridge |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124305842 PECOS PAC ID: 6608097092 Enrollment ID: I20171026003461 |
| Provider Name | Shari A Youchoff |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609023431 PECOS PAC ID: 8426315847 Enrollment ID: I20171120001853 |
| Provider Name | Sara D Bell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639488521 PECOS PAC ID: 2365701711 Enrollment ID: I20180111000454 |
| Provider Name | Nita Patel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194048041 PECOS PAC ID: 5890057574 Enrollment ID: I20180315002435 |
| Provider Name | Chelsea Leigh Mattea |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649709957 PECOS PAC ID: 7214266907 Enrollment ID: I20190905001245 |
| Provider Name | Jamee Ahlers |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1801911144 PECOS PAC ID: 3678901618 Enrollment ID: I20200325001491 |
| Provider Name | Holly Lynn Yanzer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134647902 PECOS PAC ID: 4587903828 Enrollment ID: I20200520000952 |
| Provider Name | Allina Monica Hans |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710369574 PECOS PAC ID: 6204146814 Enrollment ID: I20201222000990 |
| Provider Name | Ashlie Kristina Mitchell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831454172 PECOS PAC ID: 8022424225 Enrollment ID: I20210315000335 |
| Provider Name | Kristen L Hrasky |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457920571 PECOS PAC ID: 0648673673 Enrollment ID: I20210728000979 |
| Provider Name | Angela M Sudholt |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1457616625 PECOS PAC ID: 6305241498 Enrollment ID: I20210827001786 |
| Provider Name | Bailey Elizabeth Hopkins |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669044723 PECOS PAC ID: 1254738883 Enrollment ID: I20210924001565 |
| Provider Name | Tara M Powers |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1124476957 PECOS PAC ID: 2264704360 Enrollment ID: I20221201001645 |
| Provider Name | Andrew Jason Dichsen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134836786 PECOS PAC ID: 7315316965 Enrollment ID: I20221203000562 |
| Provider Name | Tina Vogel |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1154542751 PECOS PAC ID: 4688912280 Enrollment ID: I20230105000646 |
| Provider Name | Dashia Thelma Sykes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336401116 PECOS PAC ID: 2567811342 Enrollment ID: I20231206001739 |
| Provider Name | Mary Kathryn Warchol |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649667916 PECOS PAC ID: 8820438831 Enrollment ID: I20240424001842 |
| Provider Name | Veronica Ashley Broederdorf |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508257205 PECOS PAC ID: 8426498544 Enrollment ID: I20240506003408 |
| Provider Name | Steven Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295183515 PECOS PAC ID: 4385188390 Enrollment ID: I20240702000526 |
| Provider Name | Debra Witt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881355535 PECOS PAC ID: 8123411212 Enrollment ID: I20250113003442 |
| Provider Name | Ria Esperanza De Leon Jimenez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043571946 PECOS PAC ID: 7911435078 Enrollment ID: I20250116003344 |
| Provider Name | Sarah Grace Rebban |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1760189807 PECOS PAC ID: 3577080589 Enrollment ID: I20250502002468 |
| Provider Name | Lesley Gail Auten |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1346597028 PECOS PAC ID: 0941719660 Enrollment ID: I20250604001182 |
| Provider Name | Andria Moran |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1043984891 PECOS PAC ID: 1355851312 Enrollment ID: I20250609002369 |
| Mailing Address | Practice Location Address |
|---|---|
| Powerback Rehabilitation Llc 101 E State St, C/o Business Development, Kennett Square, PA 19348-3109 Ph: (800) 728-8808 | Powerback Rehabilitation Llc 1022 E Wesley Dr, O Fallon, IL 62269-6107 Ph: (618) 607-5081 |
Personal Touch Rehab & Wellness Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 253 Henrietta Dr, O Fallon, IL 62269 Phone: 618-604-2777 | |
Bridget Grissom, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 E Us Highway 50, O Fallon, IL 62269 Phone: 618-622-9878 Fax: 618-624-6781 | |
Dustin Richert, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 210 Hartman Ln Ste 500, O Fallon, IL 62269 Phone: 618-589-9000 Fax: 618-589-9005 | |
Miss Jessica Ann Zimmerman, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 916 Talon Dr, Suite 102, O Fallon, IL 62269 Phone: 618-628-8211 Fax: 618-628-0883 | |
Patricia Wiesner, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1567 Sinking Springs Dr, O Fallon, IL 62269 Phone: 618-632-9120 Fax: 618-551-2697 | |
Sara M Lester, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 916 Talon Dr, Suite 102, O Fallon, IL 62269 Phone: 618-628-8211 Fax: 618-628-0883 | |
Dr. Kristen Lyn Pitts, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 916 Talon Dr, O Fallon, IL 62269 Phone: 618-628-8211 |