Joshua Beausoleil, MA CCC-SLP
NPI 1104491190ActiveIndividual· Speech-Language Pathologist· Rochester, MI
Speech-Language Pathologist (MA CCC-SLP) with Powerback Rehabilitation LLC, practicing in Rochester, Michigan. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1104491190 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA CCC-SLP |
| Sole proprietor | Yes |
| NPI issued | May 23, 2021 |
| Last updated in NPPES | May 23, 2021 |
| Certified by provider | May 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 7101000545 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (MI) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Powerback Rehabilitation LLCJackson, MI · 649 clinicians
Other Speech-Language Pathologist providers in Rochester
- 1902770696
- 1306529771
- 1033964697
- 1235736570
- 1891360251
- 1366809170
- 1881416337
- 1487409959
- 1902713332
- 1093230161
- 1942641436
- 1275839060