Marissa Louise Gratza, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA16227 Issued in FL

Practice address

2730 Isabella Blvd Ste 10
Jacksonville Beach, FL 32250-8002

Phone

(904) 372-4070

NPI assigned

Aug 1, 2017

Last updated

May 8, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coastal Therapy & Learning Center, Inc.

  • Occupational Therapist
  • Jacksonville Beach, FL
  • NPI 1184711053

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1740704626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 KERNAN BLVD S APT 2022",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322249692",
            "telephone_number": "636-357-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 ISABELLA BLVD STE 10",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322508002",
            "telephone_number": "904-372-4070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 Kernan Blvd S Apt 2022",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322249692",
            "country_code": "US",
            "telephone_number": "636-357-9966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRATZA",
        "first_name": "MARISSA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ8066",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA16227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Gorman, RDN
• Joanne Goulet, PT
• Stephen E Grable, MD
• Brian Joseph Grady, LMT
• Robert David Graham, M.D.
• Allison Gray, RD, RDN, MS
• Great Strides Rehabilitation Inc. (Great Strides Rehabilitation)
• Howard J Green, D.O.
• Calvin Cameron Greene, M.D.
• Jennifer Amelia Greer, RN

• Speech-Language Pathologist in Jacksonville Beach, FL
• Providers in Jacksonville Beach, 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 May 8, 2018; 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.