Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902388242 Individual Practitioner Female Practitioner

Marisa Rickerson

Speech-Language Pathologist • Tayloe, TX

Professional Overview & Biography Verified Profile Summary

Marisa Rickerson is a registered healthcare professional specializing in Speech-Language Pathologist in Tayloe, TX. Practice services are available at SPJST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Spjst
1810 Old Granger Rd

Tayloe, TX 76574

Telephone 5123526337
Associated Practice Facility / Clinic
🏢 Oakbend Medical Center Facility NPI 1871633305

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Tayloe, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Tayloe, TX (17210 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TX 103418

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Sophia Hale

Speech-Language Pathologist

NPI 1063161123
Rocio Donis , OTR, L

Occupational Therapist

NPI 1124601380

Occupational Therapist Registered, L

Victoria Broussard , OTR

Occupational Therapist

NPI 1275012114

Occupational Therapist Registered

Leigh Haines

Speech-Language Pathologist

NPI 1467030379
Jordan Mcneil

Physical Therapy Assistant

NPI 1477034767
Julie Trevillion

Speech-Language Pathologist

NPI 1629424650

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 04, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location September 04, 2018

Registered at SPJST, 1810 OLD GRANGER RD, TAYLOE, TX 76574 (Tel: 5123526337)

📍
Updated Business Mailing Address September 04, 2018

Registered at 30800 BERRY CREEK DR, GEORGETOWN, TX 786281121

👤
Provider Name / Credentials Updated September 04, 2018

Recorded as MARISA RICKERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2018

Speech-Language Pathologist (License #103418 in TX)

🟢
Initial NPI Registration & Enumeration September 04, 2018

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: 1902388242
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 04, 2018
Last Update: September 04, 2018
Sole Proprietor: Yes

Mailing Address

30800 Berry Creek Dr

Georgetown, TX 786281121

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.