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Marissa Rae Young , SLP

Speech-Language Pathologist β€’ Fort Pierce, FL

Active NPI 1003243312 Individual Practitioner Female Practitioner
Practice location in NPPES

4715 Kirby Loop Rd
Fort Pierce, FL 349815345

Call 7725776964 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4715 Kirby Loop Rd

Fort Pierce, FL 349815345

Telephone 7725776964
Organization at the Same NPPES Address or Phone
Grace Therapies Facility NPI 1881072411

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Port St Lucie, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fort Pierce and Florida

41 active clinicians are listed under Speech-Language Pathologist with a practice address in Fort Pierce, FL (11,513 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fort Pierce

0% of these 41 clinicians have the CMS telehealth indicator.

2.4% of these 41 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-08-06
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES FL SA18025

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES FL SI2224

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES FL SZ9191

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
103979600 (FL)

Secondary Practice Locations

1681 Sw Buffum Ln

Port St Lucie, FL 349843529

Phone: 5617296160

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Business Mailing Address August 06, 2021

Registered at 541 SW FIELDS AVE, PORT ST LUCIE, FL 349534006 (Tel: 5617296160)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2021

Speech-Language Pathologist (license number reported to NPPES: FL SA18025)

πŸ“
Updated Practice Location August 21, 2019

Registered at 4715 KIRBY LOOP RD, FORT PIERCE, FL 349815345 (Tel: 7725776964)

πŸ‘€
Provider Name / Credentials Updated August 21, 2019

Recorded as MARISSA YOUNG, SLP

βœ…
NPI Profile Active October 01, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 01, 2013

Registered at 1681 SW BUFFUM LN, PORT ST LUCIE, FL 349843529 (Tel: 5617296160)

πŸ“
Business Mailing Address (Initial Record) October 01, 2013

Registered at 1681 SW BUFFUM LN, PORT ST LUCIE, FL 349843529 (Tel: 5617296160)

πŸ‘€
Provider Name / Credentials (Initial Record) October 01, 2013

Recorded as MARISSA YOUNG, SLPA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2013

Speech-Language Pathologist (license number reported to NPPES: FL SI2224)

🟒
Initial NPI Registration & Enumeration October 01, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1003243312
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 01, 2013
Last Update: August 06, 2021
Sole Proprietor: No

Mailing Address

541 Sw Fields Ave

Port St Lucie, FL 349534006

Phone: 5617296160

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.