Individual provider Active NPI

Rebecca Ingles, M.S.

  • Speech-Language Pathologist
  • Shelby TWP, MI
National Provider Identifier
1194291260
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101005736 Issued in MI
Practice address
50920 Van Dyke Ave
Shelby TWP, MI 48317-1367
Phone
(586) 307-4757
Fax
(855) 393-6740
NPI assigned
Oct 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7101005736 MI Primary

Addresses

Primary practice location

50920 Van Dyke Ave
Shelby TWP, MI 48317-1367

Mailing address

50920 Van Dyke Ave
Shelby TWP, MI 48317-1367
Phone (586) 307-4757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210204001333 MI Practitioner - Qualified Speech Language Pathologist 1951715812 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7101005736MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Michigan, LLC Speech-Language Pathologist CurrentSince Sep 15, 2025 Accepting new patients

Locations

7822 Andersonville Rd
Clarkston, MI 48346
Phone (248) 684-9610

1764 S Ortonville Rd
Ste 400
Ortonville, MI 48462
Phone (248) 793-5730

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1194291260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50920 VAN DYKE AVE",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483171367",
            "telephone_number": "586-307-4757",
            "fax_number": "855-393-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50920 VAN DYKE AVE",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483171367",
            "telephone_number": "586-307-4757",
            "fax_number": "855-393-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGLES",
        "first_name": "REBECCA",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101005736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.