OrganizationActive
Powerback Rehabilitation LLC
NPI 1093498610 · Rehabilitation Clinic/Center · Oklahoma City, OK
Provider details
- NPI number
- 1093498610
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carl Shrom, Ceo(215) 896-0422
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1515 Kingsridge Dr
Oklahoma City, OK 73170-4475
Phone: (405) 676-7274
Street-level locationGet directions
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Other names (DBA / former)
- Doing business as
- Powerback Rehabilitation
Registry dates
- Enumerated
- 2023-08-10
- Last updated
- 2023-08-10
- Certified
- 2023-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.