Kelly Gracek, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA20900 Issued in FL

Practice address

90 Fort Wade Rd Suite 100 #1017
Ponte Vedra, FL 32081

Phone

(904) 834-9796

NPI assigned

Jul 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kelly Gatch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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.

• Talk Is Sweet Therapy LLC

  • Speech-Language Pathologist
  • Ponte Vedra, FL
  • NPI 1962358655
  NPD
• Cobblestone Pathways, LLC

  • Speech-Language Pathologist
  • Roswell, GA
  • NPI 1528171535
  NPD (past)
• The George Center Foundation

  • Music Therapist
  • Roswell, GA
  • NPI 1750623658
  NPD (past)

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1285252569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 FORT WADE RD",
            "address_2": "SUITE 100 #1017",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "32081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 FORT WADE RD SUITE 100 #1017",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "32081",
            "telephone_number": "904-834-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACEK",
        "first_name": "KELLY",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA20900",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30002434",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "GATCH",
            "credential": "M.A., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Goldman, OTD, OTR/L
• Melissa Gonzalez Herrera
• Joselyne Anneth Gonzalez
• Gordon Family Chiropractic Inc
• Samantha Gottlieb
• Melinda Faye Greenfield, DO
• Joseph C. Greenhaw, M.D.
• Amy D. Greenwald, M.D.
• Jonathan James Gries, M.D.
• Richard Jay Griffin, RPH

• Speech-Language Pathologist in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.