Powerback Rehabilitation LLC
NPI 1063014405ActiveOrganization· Physical Therapist· Prospect, KY
Physical Therapist in Prospect, Kentucky, registered in NPPES in November 2020. The authorized official on file is Ian Oppel, Coo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063014405 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 11, 2020 |
| Last updated in NPPES | May 29, 2025 |
| Certified by provider | May 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KY) |
|---|
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All 21 physical therapists in Prospect · All physical therapists in Kentucky