| Powerback Rehabilitation | |
|
9700 Pensacola Blvd Pensacola FL 32534-1242 | |
| (800) 728-8808 | |
| Not Available |
| Full Name | Powerback Rehabilitation |
|---|---|
| Speciality | Clinic/Center |
| Location | 9700 Pensacola Blvd, Pensacola, 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 101 E State St Kennett Square PA 19348-3109 Ph: (800) 728-8808 | Powerback Rehabilitation 9700 Pensacola Blvd Pensacola FL 32534-1242 Ph: (800) 728-8808 |
| NPI Number | 1295306116 |
|---|---|
| Provider Enumeration Date | 07/02/2021 |
| Last Update Date | 05/21/2026 |
| Certification Date | 05/21/2026 |
| Medicare PECOS PAC ID | 2365359932 |
|---|---|
| Medicare Enrollment ID | O20230613000115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295306116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 261QR0400X | Clinic/center - Rehabilitation | () | Primary |
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