POWERBACK REHABILITATION LLC
NPI 1912748138
Clinic/Center - Rehabilitation in Winston Salem, NC

NPI Status: Active since June 03, 2024

Contact Information

526 BROOKBERRY HEIGHTS XING
WINSTON SALEM, NC
ZIP 27106
Phone: (336) 600-2632

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  • Organization
  • Clinic/Center
  • Rehabilitation

About POWERBACK REHABILITATION LLC

This page provides the complete NPI Profile along with additional information for Powerback Rehabilitation Llc, a provider established in Winston Salem, North Carolina operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1912748138 assigned on June 2024. The practitioner's primary taxonomy code is 261QR0400X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Carl Anthony Shrom (Ceo)

NPI
1912748138
Provider Name
POWERBACK REHABILITATION LLC
Entity Type
Organization
Location Address
526 BROOKBERRY HEIGHTS XING WINSTON SALEM, NC 27106
Location Phone
(336) 600-2632
Mailing Address
101 E STATE ST KENNETT SQUARE, PA 19348
Mailing Phone
(800) 728-8808
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-03-2024
Last Update Date
06-03-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation

Taxonomy Code
261QR0400X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CARL ANTHONY SHROM

Authorized Official Title
CEO
Authorized Official Phone
(215) 896-0422

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1912748138
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29221441616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 1 + 4 + 4 + 1 + 6 + 1 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1912748138 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972304483 CHRISTY LYNN MATHIS SLP
Individual
Speech-Language Pathologist526 BROOKBERRY HEIGHTS XING
WINSTON SALEM, NC 27106
(336) 701-3692

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912748138, enumerated in the NPI registry as an "organization" on June 03, 2024

The provider is located at 526 Brookberry Heights Xing Winston Salem, Nc 27106 and the phone number is (336) 600-2632

This medical organization specializes in Clinic/Center with taxonomy code 261QR0400X with a focus in Rehabilitation

This NPI record was last updated on June 03, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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