Active NPI
Grace Victoria, M.S., CCC-SLP
- Speech-Language Pathologist
- Coral Gables, FL
National Provider Identifier
1902145568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP.0007040
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SA12747 | FL | MD | Speech-Language Pathologist |
| SZ6080 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Early Intervention Provider Agency
- Miami, FL
- NPI 1821418880
-
- Speech-Language Assistant
- Coral Gables, FL
- NPI 1962813972
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.