Powerback Rehabilitation LLC
NPI 1780316547ActiveOrganization· Physical Therapist· Petoskey, MI
Physical Therapist in Petoskey, Michigan, registered in NPPES in June 2022. The authorized official on file is Ian Oppel, Coo. Enrolled in Medicare as part a provider - outpatient physical therapy/occupational therapy/speech pathology services.
Overview
| NPI | 1780316547 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 29, 2022 |
| Last updated in NPPES | May 2, 2025 |
| Certified by provider | May 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Clinic/Center, Rehabilitation | 261QR0400X | — | — |
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 A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services (MI) |
|---|
Other physical therapists in Petoskey
- 1023778693
- 1235063405
- 1316581226
- 1871154369
- 1902205354
- 1942464870
- 1215769856
- 1942138714
- 1942202619
- 1134603897
- 1194225847
- 1710488051
All 32 physical therapists in Petoskey · All physical therapists in Michigan