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METAMORPHOSIS REHABILITATION, LLC
NPI 1497552079
Clinic/Center - Hearing and Speech in Jackson, MS

Active since February 28, 2025
5170 SUNNYVALE DR, JACKSON, MS 39211(909) 570-1198 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Metamorphosis Rehabilitation, Llc NPPES

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

METAMORPHOSIS REHABILITATION, LLC (NPI 1497552079) 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

NPI1497552079
Entity TypeOrganization
Primary Taxonomy261QH0700X
Legal Business NameMETAMORPHOSIS REHABILITATION, LLC
Location Address5170 SUNNYVALE DRJackson, MS 39211-4845
Mailing Address5170 Sunnyvale DrJackson, MS 39211-4845 · (909) 570-1198
Phone(909) 570-1198
Organization SubpartNo
Authorized OfficialMyna Laquisha BurksOwner/senior Clinician · (909) 570-1198
Enumeration DateFebruary 28, 2025
NPPES CertifiedFebruary 28, 2025
✔ NPI 1497552079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Hearing and SpeechAmbulatory Health Care Facilities
Taxonomy Code261QH0700X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability.
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedHome HealthTaxonomy 251E00000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
Also ListedClinic/Center · Radiology, MobileTaxonomy 261QR0208X
5170 SUNNYVALE DR, Jackson, MS 39211
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Other Names 1

Other NameMetamorphosis Rehabilitation

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

METAMORPHOSIS REHABILITATION, LLC
Speech-Language Pathologist
5170 SUNNYVALE DR
JACKSON, MS 39211
Hinds County (601) 978-0804
METAMORPHOSIS REHABILITATION LLC
Clinic/Center (Hearing and Speech)
5170 SUNNYVALE DR
JACKSON, MS 39211
Hinds County (909) 570-1198

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 1497552079. It was assigned to this organization in the NPPES registry on February 28, 2025. The provider is also known 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.

When was this NPI record last updated?

The NPPES record for Metamorphosis Rehabilitation, LLC was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.