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

NPI Status: Active since February 28, 2025

Contact Information

5170 SUNNYVALE DR
JACKSON, MS
ZIP 39211
Phone: (909) 570-1198

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  • Organization
  • Clinic/Center
  • Hearing and Speech

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 Clinic/center, focusing in hearing and speech . The healthcare provider is registered in the NPI registry with number 1497552079 assigned on February 2025. The practitioner's primary taxonomy code is 261QH0700X. 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 Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Myna Laquisha Burks Ph. D. (Owner/senior Clinician)

NPI
1497552079
Provider Name
METAMORPHOSIS REHABILITATION, LLC
Entity Type
Organization
Location Address
5170 SUNNYVALE DR JACKSON, MS 39211
Location Phone
(909) 570-1198
Mailing Address
5170 SUNNYVALE DR JACKSON, MS 39211
Mailing Phone
(909) 570-1198
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-28-2025
Last Update Date
02-28-2025
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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

Clinic/Center Hearing and Speech

Taxonomy Code
261QH0700X
Type
Ambulatory Health Care Facilities
Taxonomy Description
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.

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)
1225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

 
2251E00000XAgencies

Home Health

 
3261QM1300XAmbulatory Health Care Facilities

Clinic/Center
Multi-Specialty

 
4261QP2000XAmbulatory Health Care Facilities

Clinic/Center
Physical Therapy

 
5261QR0208XAmbulatory Health Care Facilities

Clinic/Center
Radiology, Mobile

 

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MYNA LAQUISHA BURKS PH. D.

Authorized Official Title
OWNER/SENIOR CLINICIAN
Authorized Official Phone
(909) 570-1198

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1497552079, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 5 → 10 → 1 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 8 + 7 + 1 + 0 + 5 + 4 + 0 + 1 + 4 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1497552079.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Speech-Language Pathologist
5170 SUNNYVALE DR
JACKSON, MS 39211
Clinic/Center (Hearing and Speech)
5170 SUNNYVALE DR
JACKSON, MS 39211

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497552079, enumerated as an "organization" on February 28, 2025.

The provider is located at 5170 SUNNYVALE DR JACKSON, MS 39211 and the phone number is (909) 570-1198.

Clinic/Center with taxonomy code 261QH0700X and a focus in Hearing and Speech.