Provider Demographics
NPI:1205160231
Name:EMPOWERABILITY LLC
Entity type:Organization
Organization Name:EMPOWERABILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MED,OTR/L,SCEM, ATP
Authorized Official - Phone:302-504-6067
Mailing Address - Street 1:107 SYRACUSE DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-8101
Mailing Address - Country:US
Mailing Address - Phone:302-504-6067
Mailing Address - Fax:302-504-6067
Practice Address - Street 1:107 SYRACUSE DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-8101
Practice Address - Country:US
Practice Address - Phone:302-504-6067
Practice Address - Fax:302-504-6067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-23
Last Update Date:2011-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE0000827225X00000X, 225XE0001X
PAOC004472L225XE0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XE0001XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistEnvironmental ModificationGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty