POWERBACK REHABILITATION LLC; NPI #1093498610

Contact Information

POWERBACK REHABILITATION LLC

1515 KINGSRIDGE DR
OKLAHOMA CITY, OK 73170-4475

Phone: 405-676-7274
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation	261QR0400X	B4[14]	Rehabilitation Agency

Indicates primary specialty

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NPI Profile & details for POWERBACK REHABILITATION LLC

NPI Number	`1093498610`
LBN Legal business name	POWERBACK REHABILITATION LLC
Authorized official	CARL SHROM - (CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	08/10/2023
Last updated	08/10/2023 - About 3 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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