Marissa Michelle Doletzky

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101005715 Issued in MI

Practice address

345 1/2 Sigsbee St
Rockford, MI 49341-1029

Phone

(602) 881-1753

NPI assigned

Aug 30, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Rockford Speech Therapy, LLC

  • Speech-Language Pathologist
  • Rockford, MI
  • NPI 1831727585
  Medicare reassignment NPD Authorized official
• Stepping Up Pediatric Physical Therapy

  • Physical Therapist
  • Tucson, AZ
  • NPI 1558426825
  NPD (past)
• Sunnyside Unified School District No. 12

  • Local Education Agency (LEA)
  • Tucson, AZ
  • NPI 1740378397
  NPD (past)

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1245786227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 1/2 SIGSBEE ST",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411029",
            "telephone_number": "602-881-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 1/2 SIGSBEE ST",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411029",
            "telephone_number": "602-881-1753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2238 E, Ginter Road",
            "address_2": "Sunnyside Unified School District No. 12",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "85706",
            "country_code": "US",
            "telephone_number": "520-545-2137",
            "fax_number": "520-545-2120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLETZKY",
        "first_name": "MARISSA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101005715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Dietz
• Jessica Dillon, CCC-SLP
• Robin D Dine
• Dionne Chiropractic Offices, P.C.
• Megan D Ditty, MD
• Elizabeth Erin Doorenbos, LPN
• Thomas Dowling
• Dr. Renee Malinski Chiropractic PLLC
• Meranda A Drouin, RBT
• Bradley Theodore Dubey

• Speech-Language Pathologist in Rockford, MI
• Providers in Rockford, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.