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

Joshua Beausoleil, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1104491190

Joshua Beausoleil, MACCC-SLP is a Qualified Speech Language Pathologist in Rochester, Michigan. Qualified in 2012, 14 years ago. Practices with Powerback Rehabilitation LLC, a 616-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
14
Licensed in
MI
In the registry since
2021

Practice location Address checks out

790 Letica Dr
Rochester, MI 48307-1581
Phone: (248) 841-8754
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 7101000545 (MI)

Record details

NPI number1104491190
Entity typeIndividual (Type 1)
GenderMale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedMay 23, 2021
Last updated in NPPESMay 23, 2021
Certification dateMay 23, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Powerback Rehabilitation Llc — 616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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