Active NPI
Prangchat Fakto
- Assisted Living Facility
- Jeffersonville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Practice address
- 2105 Hamburg Pike
Jeffersonville, IN 47130-6301 - Phone
- (812) 577-8542
- NPI assigned
- Mar 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary | ||
| Speech-Language Pathologist | 235Z00000X | 22008398A | IN |
Addresses
Primary practice location
2105 Hamburg Pike
Jeffersonville, IN 47130-6301
Mailing address
10 S 9TH St Ste 4
Noblesville, IN 46060-2631
Phone (317) 204-3736
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230502002965 | IN | Practitioner - Qualified Speech Language Pathologist | 4385009075 | Reassigns benefits to 2 organizations |
| I20230505000321 | KY | Practitioner - Qualified Speech Language Pathologist | 4385009075 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthpro Heritage Rehab and Fitness LLC
Practice addresses (Care Compare)
6700 Overlook Dr
Louisville, KY 40241-6583
Phone (502) 323-3806
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Group Practice LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Aegis Group Practice LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Creative Health Care Management LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Empowerme Rehabilitation Illinois, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Aegis Group Practice LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Creative Health Care Management LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
300 E Washington Blvd
Fort Wayne, IN 46802
Phone (260) 422-5511
7900 Rhode Island St
#1504
Merrillville, IN 46410
Phone (219) 649-0625
10 S 9th St
Ste 4
Noblesville, IN 46060
6700 Overlook Dr
Louisville, KY 40241
Phone (402) 724-9166
9107 Taylorsville Rd
Apt 137
Louisville, KY 40299
Phone (502) 380-6585
10210 Long Home Rd
Louisville, KY 40291
Phone (502) 231-4522
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
Organizations & group practices 30
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.
-
- Physical Therapist
- Louisville, KY
- NPI 1770054686
KY, Speech-Language Pathologist
-
- Physical Therapist
- Fishers, IN
- NPI 1902350457
IN, Speech-Language Pathologist
-
- Multi-Specialty Clinic/Center
- Kokomo, IN
- NPI 1023618956
IN, Speech-Language Pathologist
-
- Physical Therapist
- Louisville, KY
- NPI 1457847659
KY, Speech-Language Pathologist
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
Speech-Language Pathologist
-
- Physical Therapist
- Merrillville, IN
- NPI 1053833657
-
- Physical Therapist
- Tallulah, LA
- NPI 1154852382
-
- Physical Therapist
- Abington, PA
- NPI 1235653403
-
- Physical Therapist
- Mountain Home, AR
- NPI 1235780115
-
- Physical Therapist
- Menomonee Falls, WI
- NPI 1245755487
-
- Physical Therapist
- Boulder, CO
- NPI 1376038646
-
- Physical Therapist
- Clinton, TN
- NPI 1376073262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1902509151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 S 9TH ST STE 4",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460602631",
"telephone_number": "317-204-3736",
"fax_number": "317-324-3965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 HAMBURG PIKE",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471306301",
"telephone_number": "812-577-8542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAKTO",
"first_name": "PRANGCHAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-27",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22008398A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jeffersonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.