POWERBACK REHABILITATION LLC – Rehabilitation Clinic/Center, NPI 1477964823

POWERBACK REHABILITATION LLC is a healthcare provider. based in Tavares, Florida. specializing in Rehabilitation Clinic/Center. The NPI Number for POWERBACK REHABILITATION LLC is 1477964823

Main info

Organization
Name
POWERBACK REHABILITATION LLC
NPI
1477964823
Phone
(352) 508-7620
Address
1501 SUNSHINE PKWY
Authorized Official
CARL ANTHONY SHROM CEO
Enumeration Date
19 May 2014
Last Update Date
11 February 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:12State licenses:0Digital endpointsOther names

Provider Addresses for POWERBACK REHABILITATION LLC

  • 1501 SUNSHINE PKWY

    TAVARES, FL 327784496

    Phone: (352) 508-7620

    Type: Location

  • 5433 W STATE ROAD 46

    SANFORD, FL 327719236

    Phone: (407) 324-7204

    Type: Location

  • 101 E STATE ST

    C/O AMY NUNEMAKER

    KENNETT SQUARE, PA 193483109

    Phone: (610) 925-4560

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20140619002211OOutpatient Physical Therapy/Occupational Therapy/Speech Pathology ServicesFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32778)

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Reviews

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Frequently asked questions

What is POWERBACK REHABILITATION LLC's NPI number?
POWERBACK REHABILITATION LLC's NPI is 1477964823 — the number used across U.S. healthcare to identify this provider.
Is POWERBACK REHABILITATION LLC shown as active in public data?
Registry records indicate POWERBACK REHABILITATION LLC maintains an active NPI.
What expertise is attributed to POWERBACK REHABILITATION LLC?
POWERBACK REHABILITATION LLC's specialty line reads Rehabilitation Clinic/Center. Clinical services aligned with this taxonomy classification.
Is POWERBACK REHABILITATION LLC associated with Tavares?
Public fields place POWERBACK REHABILITATION LLC around Tavares, Florida. Always confirm the exact site before visiting.
Does POWERBACK REHABILITATION LLC accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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