Individual provider Active NPI

Marisa Ricciardi

  • Speech-Language Pathologist
  • Chagrin Falls, OH
National Provider Identifier
1720851223
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
5277 Chillicothe Rd
Chagrin Falls, OH 44022-4334
Phone
(440) 557-1100
NPI assigned
Nov 6, 2023
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

5277 Chillicothe Rd
Chagrin Falls, OH 44022-4334

Mailing address

4307 Olde Charted TRL
Poland, OH 44514-5362
Phone (330) 974-8850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MT, NV3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20231205002037 OH Practitioner - Qualified Speech Language Pathologist 4082063870 Reassigns benefits to 1 organization
I20250701002135 MT Practitioner - Qualified Speech Language Pathologist 4082063870 Reassigns benefits to 1 organization
I20251026000352 NV Practitioner - Qualified Speech Language Pathologist 4082063870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

171 N Cleveland Massillon Rd
Akron, OH 44333-2422
Phone (234) 466-0160

200 Hamlet Hills Dr
Chagrin Falls, OH 44022-2870
Phone (440) 600-7688

3522 Commercial Dr
Fairlawn, OH 44333-5106
Phone (234) 466-7788

4303 Trueman Blvd
Hilliard, OH 43026-2631
Phone (614) 319-3305

528 Rothrock Rd
Copley, OH 44321-3132
Phone (330) 576-3496

6046 Brecksville Rd
Independence, OH 44131-1535
Phone (216) 232-4776

6200 Landerhaven Dr
Mayfield Heights, OH 44124-4129
Phone (440) 566-0163

8100 Washington St
Chagrin Falls, OH 44023-4506
Phone (440) 384-3358

8668 Day Dr
Parma, OH 44129-5692
Phone (440) 340-4002

9205 W Sprague Rd
Cleveland, OH 44133-1286
Phone (440) 558-2370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Jan 20, 2024 Accepting new patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Jan 20, 2024 Accepting new patients
Elovee Therapy Services, P.a. Speech-Language Pathologist CurrentSince Jun 16, 2025 Accepting new patients

Locations

400 N Tampa St
Fl 15
Tampa, FL 33602
Phone (844) 435-6833

3010 Santa Fe Ct
Missoula, MT 59808
Phone (406) 219-7233

110 Horizon Dr
#310
Raleigh, NC 27615

5277 Chillicothe Rd
Chagrin Falls, OH 44022
Phone (440) 557-1186

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1720851223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4307 OLDE CHARTED TRL",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445145362",
            "telephone_number": "330-974-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5277 CHILLICOTHE RD",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440224334",
            "telephone_number": "440-557-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCIARDI",
        "first_name": "MARISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chagrin Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.

Verify at the official NPI Registry.