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

Prangchat Fakto

Individual provider Assisted Living Facility · NPI 1902509151

Prangchat Fakto is a Qualified Speech Language Pathologist in Jeffersonville, Indiana. Qualified in 2022, 4 years ago. Practices with Healthpro Heritage Rehab and Fitness LLC, a 990-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
4
Licensed in
IN
In the registry since
2023
Specialties on file
2

Practice location Address checks out

2105 Hamburg Pike
Jeffersonville, IN 47130-6301
Phone: (812) 577-8542
Show map & directions

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

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 22008398A (IN)

Record details

NPI number1902509151
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 27, 2023
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025
Mailing address10 S 9th St Ste 4, Noblesville, IN 46060-2631

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Healthpro Heritage Rehab And Fitness Llc — 990 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jeffersonville