METAMORPHOSIS REHABILITATION LLC
NPI 1295532877
Clinic/Center - Hearing and Speech in Jackson, MS
About Metamorphosis Rehabilitation Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
METAMORPHOSIS REHABILITATION LLC (NPI 1295532877), doing business as Metamorphosis Rehabilitation, is a healthcare organization registered as a hearing and speech in Jackson, Mississippi and active in the NPI registry since February 2025. The organization lists Myna Laquisha Burks, Owner/senior Clinician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Metamorphosis Rehabilitation Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Metamorphosis Rehabilitation LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Metamorphosis Rehabilitation LLC's NPI number?
The NPI number for Metamorphosis Rehabilitation LLC is 1295532877. It was assigned to this organization in the NPPES registry on February 28, 2025. The provider is doing business as Metamorphosis Rehabilitation.
Where is Metamorphosis Rehabilitation LLC located?
Metamorphosis Rehabilitation LLC is located at 5170 Sunnyvale Dr, Jackson, MS 39211. The listed phone number is (909) 570-1198.
What is Metamorphosis Rehabilitation LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Hearing and Speech, with taxonomy code 261QH0700X.
Is Metamorphosis Rehabilitation LLC enrolled in Medicare?
Yes. Metamorphosis Rehabilitation LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Metamorphosis Rehabilitation LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Qualified Speech Language Pathologist) reassigns their Medicare billing to Metamorphosis Rehabilitation LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Metamorphosis Rehabilitation LLC was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Metamorphosis Rehabilitation Llc · NPI 1295532877
Hearing and Speech organization in Jackson, Mississippi. Organization record, active in the CMS NPPES registry since February 28, 2025.
## Identity
- **NPI:** 1295532877 (Entity type: Organization)
- **Enumerated:** February 28, 2025
- **Primary specialty:** Clinic/Center - Hearing and Speech · taxonomy 261QH0700X
- **Also known as:** Metamorphosis Rehabilitation (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Myna Burks, OWNER/SENIOR CLINICIAN
## Practice location
- **Address:** 5170 SUNNYVALE DR, Jackson, MS 39211-4845
- **Phone:** (909) 570-1198
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Qualified Speech Language Pathologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1295532877) · Data from the CMS NPPES public registry.