PRACTICAL REHABILITATION SERVICES, LLC
NPI 1306155742
Speech-Language Pathologist in Dewitt, MI

Q: What is Practical Rehabilitation Services, LLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Active since October 04, 2010

124 E WASHINGTON ST STE C, DEWITT, MI 48820(855) 777-9297(517) 394-3604 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Practical Rehabilitation Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRACTICAL REHABILITATION SERVICES, LLC (NPI 1306155742) is a healthcare organization registered as a speech-language pathologist in Dewitt, Michigan and active in the NPI registry since October 2010. The organization lists Amanda Marie Lake, Owner, as its authorized official.

NPPES Registry Identity

NPI1306155742

Entity TypeOrganization

Primary Taxonomy235Z00000X

Legal Business NamePRACTICAL REHABILITATION SERVICES, LLC

Location Address124 E WASHINGTON ST STE CDewitt, MI 48820-8826

Mailing AddressPo Box 794Okemos, MI 48805-0794 · (517) 282-7779 · Fax (517) 394-3604

Phone(855) 777-9297

Fax(517) 394-3604

Organization SubpartNo

Authorized OfficialAmanda Marie LakeOwner · (517) 282-7779

Enumeration DateOctober 4, 2010

Last NPPES UpdateFebruary 19, 2024

NPPES CertifiedFebruary 19, 2024

✔ NPI 1306155742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

Definition

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.

124 E WASHINGTON ST STE C, Dewitt, MI 48820

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Practical Rehabilitation Services, 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 Practical Rehabilitation Services, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Amanda Lake, MA CCC-SLP

Qualified Speech Language Pathologist

NPI 1184954000

124 E WASHINGTON ST STE C
Dewitt, MI 48820

(517) 282-7779

Same address

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 Practical Rehabilitation Services, LLC's NPI number?

The NPI number for Practical Rehabilitation Services, LLC is 1306155742. It was assigned to this organization in the NPPES registry on October 4, 2010.

Where is Practical Rehabilitation Services, LLC located?

Practical Rehabilitation Services, LLC is located at 124 E Washington St Ste C, Dewitt, MI 48820. The listed phone number is (855) 777-9297.

What is Practical Rehabilitation Services, LLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Practical Rehabilitation Services, LLC enrolled in Medicare?

Yes. Practical Rehabilitation Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Practical Rehabilitation Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Qualified Speech Language Pathologist) reassigns their Medicare billing to Practical Rehabilitation Services, 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 Practical Rehabilitation Services, LLC was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.