Marysa Monica Smith, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 5382 Issued in FL

Practice address

900 N Federal Hwy Ste 220
Boca Raton, FL 33432-2753

Phone

(561) 994-6590

Fax

(561) 994-6690

NPI assigned

Sep 22, 2009

Sex

Female

Sole proprietor

Yes

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)

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 and National Provider Directory roles.

• Sandler Rehab Services, Inc.

  • Speech-Language Pathologist
  • Boca Raton, FL
  • NPI 1386881670
  NPD (past)
• Stride Therapy Solutions Inc

  • Home Health Agency
  • Roswell, GA
  • NPI 1023727310
  NPD (past)

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253577600000",
    "number": "1760716955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N FEDERAL HWY STE 220",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334322753",
            "telephone_number": "561-994-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N FEDERAL HWY STE 220",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334322753",
            "telephone_number": "561-994-6590",
            "fax_number": "561-994-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARYSA",
        "middle_name": "MONICA",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 5382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dionne K.O Smith, DNP
• Jermaine Prescott Smith, PHARM.D
• Kerry-Ann Tameka Smith, PMHNP-BC
• Kyair Katie-Mae Smith, MD
• Larysa Smith, DDS
• Maura Smith
• Melody Smith, LMHC CI
• Nicholas Smith, PT, DPT
• Patricia Smith
• Phillip C. Smith, M.D.

• Speech-Language Pathologist in Boca Raton, FL
• Providers in Boca Raton, 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 22, 2009; 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.