Marissa E Ponti, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

118905 Issued in TX

Practice address

988 Golf Course Dr E.
Spring Branch, TX 78070

Phone

(210) 774-7725

NPI assigned

Aug 13, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Eastern New Mexico University

  • Speech-Language Pathologist
  • Portales, NM
  • NPI 1356115273
  NPD (past)

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1407335235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988 GOLF COURSE DR E.",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "78070",
            "telephone_number": "210-774-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "988 GOLF COURSE DR E.",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "78070",
            "telephone_number": "210-774-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTI",
        "first_name": "MARISSA",
        "middle_name": "E",
        "name_prefix": "Miss",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "118905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisa Perez, DDS
• Tavie Coyle Peters, NP
• Lewis Thomas Petmecky, L.A.T.
• Stephen P Planchet, O.D.
• Kimberly Ann Platupe, COTA
• Elizabeth Provost, LCSW
• Adriane Rae, LPC-ASSOCIATE
• Kimberly Ramcharan, DC
• Teri Ramirez, RPH
• Rediclinic, LLC

• Speech-Language Pathologist in Spring Branch, TX
• Providers in Spring Branch, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.