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INCLUSIVE REHABILITATION LLC
NPI 1417525916
Speech-Language Pathologist in Canton, GA

Active since June 12, 2021
133 GOLD MILL PL, CANTON, GA 30114(703) 400-5518 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 29, 2026, Nov 4, 2025, Jun 12, 2021 (3 updates tracked since 2021).

About Inclusive Rehabilitation Llc NPPES

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

INCLUSIVE REHABILITATION LLC (NPI 1417525916) is a healthcare organization registered as a speech-language pathologist in Canton, Georgia and active in the NPI registry since June 2021. The organization lists Wendy Blake, Speech-language Pathologist, as its authorized official.

NPPES Registry Identity

NPI1417525916
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameINCLUSIVE REHABILITATION LLC
Location Address133 GOLD MILL PLCanton, GA 30114-4025
Mailing Address133 Gold Mill PlCanton, GA 30114-4025 · (470) 504-4905
Phone(703) 400-5518
Organization SubpartNo
Authorized OfficialWendy BlakeSpeech-language Pathologist · (470) 504-4905
Enumeration DateJune 12, 2021
Last NPPES UpdateMay 29, 20263 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1417525916 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.
133 GOLD MILL PL, Canton, GA 30114
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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)

Inclusive Rehabilitation Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Inclusive Rehabilitation LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 3

Physical Therapist in Private Practice6
Occupational Therapist in Private Practice3
Qualified Speech Language Pathologist3

Clinicians, nearest first (12)

Wendy Blake, SLP
Qualified Speech Language Pathologist
NPI 1609010529
133 GOLD MILL PL
Canton, GA 30114
(470) 504-4905
✔ Accepts MedicareSame address
Angela Johnson
Occupational Therapist in Private Practice
NPI 1992461099
133 GOLD MILL PL
Canton, GA 30114
(703) 400-5518
✔ Accepts MedicareSame address
Cecelia Leopard
Physical Therapist in Private Practice
NPI 1659044840
133 GOLD MILL PL
Canton, GA 30114
(703) 400-5518
✔ Accepts MedicareSame address
Jenny Moore, PT
Physical Therapist in Private Practice
NPI 1386250033
3150 N COBB PKWY STE 150
Kennesaw, GA 30152
(678) 574-6868
✔ Accepts Medicare14 mi
Kristen Fraley, PT, DPT
Physical Therapist in Private Practice
NPI 1972045730
3450 COBB PKWY NW STE 220
Acworth, GA 30101
(770) 974-1978
✔ Accepts Medicare15 mi
Lauraanne Stewart, DPT
Physical Therapist in Private Practice
NPI 1639483415
939 JOE FRANK HARRIS PKWY SE
Cartersville, GA 30120
(770) 383-9734
✔ Accepts Medicare15 mi
Karen Temples, OT
Occupational Therapist in Private Practice
NPI 1275158040
351 JORDAN RD SE
Cartersville, GA 30120
(770) 773-6453
✔ Accepts Medicare18 mi
Lisa Stacy, PT
Physical Therapist in Private Practice
NPI 1851486070
5179 MARSDEN TRCE
Powder Springs, GA 30127
(678) 472-4042
✔ Accepts Medicare19 mi
Gina Lee
Physical Therapist in Private Practice
NPI 1518838432
3777 PEACHTREE RD NE APT 1314
Brookhaven, GA 30319
(404) 934-3710
✔ Accepts Medicare26 mi
Sheretta Fielder, MA, CCC-SLP
Qualified Speech Language Pathologist
NPI 1457619678
365 S INDUSTRIAL BLVD
Calhoun, GA 30701
(706) 624-3000
✔ Accepts Medicare30 mi
Whitney Rogers
Qualified Speech Language Pathologist
NPI 1467011270
527 BROAD ST
Rome, GA 30161
(770) 324-6066
37 mi
Heather Kagan, OTR/L
Occupational Therapist in Private Practice
NPI 1902918584
1225 BROADRICK DR
Dalton, GA 30720
(706) 272-6199
✔ Accepts Medicare48 mi

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 Inclusive Rehabilitation LLC's NPI number?

The NPI number for Inclusive Rehabilitation LLC is 1417525916. It was assigned to this organization in the NPPES registry on June 12, 2021.

Where is Inclusive Rehabilitation LLC located?

Inclusive Rehabilitation LLC is located at 133 Gold Mill Pl, Canton, GA 30114. The listed phone number is (703) 400-5518.

What is Inclusive Rehabilitation LLC's specialty?

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

Is Inclusive Rehabilitation LLC enrolled in Medicare?

Yes. Inclusive Rehabilitation LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Inclusive Rehabilitation LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Inclusive 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. The largest specialties are Physical Therapist in Private Practice (6), Occupational Therapist in Private Practice (3) and Qualified Speech Language Pathologist (3). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Inclusive Rehabilitation LLC was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.