Powerback Rehabilitation – Rehabilitation Clinic/Center, NPI 1225312424

Powerback Rehabilitation is a healthcare provider. based in Plymouth, Michigan. specializing in Rehabilitation Clinic/Center. The NPI Number for Powerback Rehabilitation is 1225312424

Main info

Organization
Name
Powerback Rehabilitation
NPI
1225312424
Phone
(734) 738-5000
Address
15700 N Haggerty Rd
Authorized Official
CARL ANTHONY SHROM CEO
Enumeration Date
6 October 2011
Last Update Date
19 April 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness80
Years active:14State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Powerback Rehabilitation

  • 15700 N Haggerty Rd

    Plymouth, MI 481704897

    Phone: (734) 738-5000

    Type: Location

  • 101 E STATE ST

    KENNETT SQUARE, PA 193483109

    Phone: (610) 925-4560

    Type: Mailing

  • 37501 JOY RD

    WESTLAND, MI 481857538

    Phone: (734) 459-7042

    Type: Location

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: 2012-04-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-06-30 (346 days ago).

Enrollment records

1

Earliest due date

2025-06-30

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
O20120418000347OOutpatient Physical Therapy/Occupational Therapy/Speech Pathology ServicesMI2025-06-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 48170)

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Reviews

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Frequently asked questions

How is Powerback Rehabilitation identified in CMS data?
CMS-hosted NPPES data lists Powerback Rehabilitation with NPI 1225312424.
Does CMS list Powerback Rehabilitation as active?
Yes — Powerback Rehabilitation is active in the NPI listing used on this page.
What taxonomy line describes Powerback Rehabilitation?
For research purposes, treat Powerback Rehabilitation as Rehabilitation Clinic/Center in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect Powerback Rehabilitation on a map?
Expect Plymouth, Michigan as a primary anchor for Powerback Rehabilitation unless the record lists multiple sites.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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