Powerback Rehabilitation LLC
NPI 1982018362ActiveOrganization· Physical Therapist· O Fallon, IL
Physical Therapist in O Fallon, Illinois, registered in NPPES in June 2014. The authorized official on file is Ian Oppel, Coo. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1982018362 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 13, 2014 |
| Last updated in NPPES | Feb 21, 2025 |
| Certified by provider | Feb 21, 2025 |
| Reactivated | Jun 1, 2017 |
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 · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (IL) |
|---|
Other Physical Therapist providers in O Fallon
- 1023621992
- 1477487312
- 1801720743
- 1326112988
- 1861396095
- 1942190400
- 1770908782
- 1043395015
- 1760236731
- 1447561196
- 1629311758
- 1962054270