Powerback Rehabilitation LLC in O Fallon, IL
This location of Powerback Rehabilitation bills under NPI 1467133231, an organization record issued on Jul 26, 2023 with the primary taxonomy Rehabilitation Clinic/Center. It is one of 130 NPIs registered under this name and one of 2 in O Fallon; each clinician who sees you there has their own NPI and license.
- Legal name
- Powerback Rehabilitation LLC
- Entity
- Type 2 · organization
- Primary taxonomy
- Rehabilitation Clinic/Center 261QR0400X
- Practice location
- 1050 FOUNTAIN LAKES DR, O Fallon, IL 62269
- Phone
- 779-713-0903
- Mailing address
- Kennett Square, PA
- Enumerated
- Jul 26, 2023
- Record updated
- Apr 3, 2025
- Authorized official
- Coo (title as filed)
The other O Fallon NPI
- Powerback Rehabilitation LLC1022 E WESLEY DR · issued Jun 13, 20141982018362
12 clinicians CMS lists with Powerback Rehabilitation in O Fallon
- Jamee Ahlers, MS-CCC-SLPSpeech-Language Pathologist1801911144
- Veronica Broederdorf, OTR/LOccupational Therapist1508257205
- Jorek CombenidoPhysical Therapist1124527650
- Andrew Dichsen, OTR/LOccupational Therapist1134836786
- Mary Elaine Fabricante, PT, DPTPhysical Therapist1972730786
- Keri Kreis, PTPhysical Therapist1518987775
- Alexandra Lockridge, DPTPhysical Therapist1124305842
- Shanie May, CF-SLPStudent in an Organized Health Care Education/Training Program1205627247
- Andria Moran, CCC-SLPSpeech-Language Pathologist1043984891
- Tara PowersSpeech-Language Pathologist1124476957
- Kyle Tanzillo, MOT, OTR/LOccupational Therapist1528421187
- Eric Wessel, PTPhysical Therapist1639175086
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
Every location registered under this name, in 127 cities.
See every locationChecking an organization
- Confirm the business with the Illinois secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
All taxonomies on this record
- 225100000X Physical Therapist
- 225X00000X Occupational Therapist
- 235Z00000X Speech-Language Pathologist
- 261QR0400X Rehabilitation Clinic/Center
Common questions
Why is the mailing address in Pennsylvania?
The mailing address in the record (Kennett Square, PA) is where the organization receives mail. Care is given at the practice location in O Fallon.
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Which O Fallon NPI should I use?
Ask the office which NPI it bills under; all 2 O Fallon NPIs are registered under the same name.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.