Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285252569 Individual Practitioner Female Practitioner

Kelly Gracek , MA, CCC-SLP

Speech-Language Pathologist • Ponte Vedra, FL

Professional Overview & Biography Verified Profile Summary

Kelly Gracek, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Ponte Vedra, FL. Practice services are available at 90 FORT WADE RD SUITE 100 #1017 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

90 Fort Wade Rd Suite 100 #1017

Ponte Vedra, FL 32081

Telephone 9048349796
Associated Practice Facility / Clinic
🏢 Talk Is Sweet Therapy Llc Facility NPI 1962358655

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Ponte Vedra, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Ponte Vedra, FL (11640 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-08
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA20900

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

State License NC 30002434

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location September 08, 2025

Registered at 90 FORT WADE RD SUITE 100 #1017, PONTE VEDRA, FL 32081 (Tel: 9048349796)

👤
Provider Name / Credentials Updated September 08, 2025

Recorded as KELLY GRACEK, M.A., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2025

Speech-Language Pathologist (License #SA20900 in FL)

📍
Updated Practice Location December 05, 2023

Registered at 90 FORT WADE RD, SUITE 100 #1017, PONTE VEDRA, FL 32081 (Tel: 9048349796)

📍
Updated Business Mailing Address December 05, 2023

Registered at 90 FORT WADE RD, SUITE 100 #1017, PONTE VEDRA, FL 32081

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2023

Speech-Language Pathologist (License #30002434 in NC)

NPI Profile Active July 13, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 13, 2020

Registered at 12010 ETRIS RD STE A150, ROSWELL, GA 300758009 (Tel: 7709989599)

📍
Updated Business Mailing Address July 13, 2020

Registered at 1084 HOWELL MILL RD NW UNIT 329, ATLANTA, GA 303185727

👤
Provider Name / Credentials Updated July 13, 2020

Recorded as KELLY GATCH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2020

Speech-Language Pathologist (License #SLP010786 in GA)

🟢
Initial NPI Registration & Enumeration July 13, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285252569
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2020
Last Update: September 08, 2025
Sole Proprietor: Yes

Mailing Address

90 Fort Wade Rd, Suite 100 #1017

Ponte Vedra, FL 32081

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.