Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Metamorphosis Rehabilitation, LLC

Organization Occupational Therapist · NPI 1285478214

Metamorphosis Rehabilitation, LLC is an Occupational Therapist in Jackson, Mississippi. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5170 Sunnyvale Dr
Jackson, MS 39211-4845
Phone: (601) 978-0804
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Occupational Therapist Taxonomy 225X00000X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
Physical Therapy Clinic/Center Taxonomy 261QP2000X
Radiology Clinic/Center Taxonomy 261QR0200X
Rehabilitation Clinic/Center Taxonomy 261QR0400X

Record details

NPI number1285478214
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Myna Burks — Owner/Senior Clinician · (601) 978-0804
NPI enumeratedJune 24, 2024
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024
Mailing address5170 Sunnyvale Dr, Jackson, MS 39211-4845

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