| Powerback Rehabilitation Llc | |
|
3260 N Harbor City Blvd Melbourne FL 32935-6203 | |
| (321) 241-4934 | |
| Not Available |
| Full Name | Powerback Rehabilitation Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3260 N Harbor City Blvd, Melbourne, Florida |
| Authorized Official Name and Position | Ian Oppel (COO) |
| Authorized Official Contact | 9802547007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Powerback Rehabilitation Llc 101 E State St C/o Amy Nunemaker Kennett Square PA 19348-3109 Ph: (610) 925-4560 | Powerback Rehabilitation Llc 3260 N Harbor City Blvd Melbourne FL 32935-6203 Ph: (321) 241-4934 |
| NPI Number | 1881093912 |
|---|---|
| Provider Enumeration Date | 08/14/2014 |
| Last Update Date | 04/03/2025 |
| Medicare PECOS PAC ID | 2365359932 |
|---|---|
| Medicare Enrollment ID | O20141104002201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881093912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Primary |
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