METAMORPHOSIS REHABILITATION, LLC
NPI 1285478214
Speech-Language Pathologist in Jackson, MS
NPI Status: Active since June 24, 2024
Contact Information
5170 SUNNYVALE DR
JACKSON, MS
ZIP 39211
Phone: (601) 978-0804
- Organization
- Speech-Language Pathologist
About METAMORPHOSIS REHABILITATION, LLC
This page provides the complete NPI Profile along with additional information for Metamorphosis Rehabilitation, Llc, a provider established in Jackson, Mississippi operating as a Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1285478214 assigned on June 2024. The practitioner's primary taxonomy code is 235Z00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Metamorphosis Rehabilitation, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Myna Laquisha Burks Ph.d. (Owner/senior Clinician)
- NPI
- 1285478214
- Provider Name
- METAMORPHOSIS REHABILITATION, LLC
- Entity Type
- Organization
- Location Address
- 5170 SUNNYVALE DR JACKSON, MS 39211
- Location Phone
- (601) 978-0804
- Mailing Address
- 5170 SUNNYVALE DR JACKSON, MS 39211
- Mailing Phone
- (601) 978-0804
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-24-2024
- Last Update Date
- 06-24-2024
- Code Navigator
Location Map
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
Speech-Language Pathologist
- Taxonomy Code
- 235Z00000X
- Type
- Speech, Language and Hearing Service Providers
- Taxonomy Description
- The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | |
| 2 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | |
| 3 | 261QP2000X | Ambulatory Health Care Facilities | Clinic/Center | |
| 4 | 261QR0200X | Ambulatory Health Care Facilities | Clinic/Center | |
| 5 | 261QR0400X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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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. | |||||||||
| 1 | 2 | 8 | 5 | 4 | 7 | 8 | 2 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 8 | 7 | 16 | 2 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 8 + 7 + 1 + 6 + 2 + 2 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1285478214 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285478214, enumerated as an "organization" on June 24, 2024.
The provider is located at 5170 SUNNYVALE DR JACKSON, MS 39211 and the phone number is (601) 978-0804.
Speech-Language Pathologist with taxonomy code 235Z00000X.
