METAMORPHOSIS REHABILITATION NPI 1295532877

NPI Information

NPI: 1295532877
Provider Name: METAMORPHOSIS REHABILITATION
Classification: Clinic/Center - 261QH0700X
Specialization: Hearing and Speech
Entity Type: Organization
Address: 5170 SUNNYVALE DR
JACKSON, MS
ZIP 39211
Phone: (909) 570-1198

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NPI Details

METAMORPHOSIS REHABILITATION is a hearing and speech clinic center in Jackson, MS. The provider is 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. METAMORPHOSIS REHABILITATION NPI is 1295532877. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5170 SUNNYVALE DR
JACKSON, MS
ZIP 39211-845
Phone: (909) 570-1198

The provider's authorized official is Myna Laquisha Burks .
The authorized official title is Owner/senior Clinician and has the following contact phone number (909) 570-1198.

The enumeration date for this NPI number is 2/28/2025 and was last updated on 2/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	225100000X	Physical Therapist		No
2	225X00000X	Occupational Therapist		No
3	251E00000X	Home Health		No
4	261QH0700X	Clinic/Center	Hearing and Speech	Yes
5	261QR0208X	Clinic/Center	Radiology, Mobile	No
6	261QR0400X	Clinic/Center	Rehabilitation	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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