Individual provider Active NPI

Grace Victoria, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Coral Gables, FL
National Provider Identifier
1902145568
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP.0007040 Issued in CO
Practice address
2153 Coral Way
Suite 602
Coral Gables, FL 33145-2631
Phone
(305) 856-1999
Fax
(305) 856-7600
NPI assigned
Feb 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP.0007040 CO Primary
Speech-Language Pathologist 235Z00000X SA12747 FL

Addresses

Primary practice location

2153 Coral Way
Suite 602
Coral Gables, FL 33145-2631

Mailing address

2153 Coral Way
Suite 602
Coral Gables, FL 33145-2631
Phone (305) 856-1999

Other practice location 1

102 S Tejon St Ste 1100
Colorado Springs, CO 80903-2253
Phone (512) 377-6318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, TX, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20260618002448 WI Practitioner - Qualified Speech Language Pathologist 0941772131
I20260625004661 TX Practitioner - Qualified Speech Language Pathologist 0941772131
I20260626000976 FL Practitioner - Qualified Speech Language Pathologist 0941772131

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7600 Chevy Chase Dr
Suite 300
Austin, TX 78752-1503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA12747FLMDSpeech-Language Pathologist
SZ6080FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
My Therapy Center, Inc Past Accepting new patients
My Therapy Center, Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1902145568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2153 CORAL WAY",
            "address_2": "SUITE 602",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331452631",
            "telephone_number": "305-856-1999",
            "fax_number": "305-856-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2153 CORAL WAY",
            "address_2": "SUITE 602",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331452631",
            "telephone_number": "305-856-1999",
            "fax_number": "305-856-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 S Tejon St Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809032253",
            "country_code": "US",
            "telephone_number": "512-377-6318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICTORIA",
        "first_name": "GRACE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-01",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0007040",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA12747",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.