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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MARISA GROSS CCC-LSP
NPI 1104800119
Rehabilitation Practitioner in Dickson City, PA

Active since December 02, 2005
851 COMMERCE BLVD, SUITE 107, DICKSON CITY, PA 18519(570) 489-5561(570) 489-5563 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Marisa Gross Ccc-lsp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISA GROSS CCC-LSP (NPI 1104800119) is an individual rehabilitation practitioner in Dickson City, Pennsylvania, licensed in Pennsylvania (SL005969 L) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1104800119
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameMARISA GROSSCredential: CCC-LSP
Location Address851 COMMERCE BLVD, SUITE 107Dickson City, PA 18519-1677
Mailing Address851 Commerce Blvd, Suite 107Dickson City, PA 18519-1677 · (570) 489-5561 · Fax (570) 489-5563
Phone(570) 489-5561
Fax(570) 489-5563
Sole ProprietorNo
Enumeration DateDecember 2, 2005
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1104800119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
License✔ Licensed in PA · SL005969 L
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X · License SL005969 L (PA)
851 COMMERCE BLVD, Dickson City, PA 18519
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Other Identifiers 7

Other819172PA · First Priority/bc/bs
Medicaid0018620480005PA
Other9222541PA · Phcs
Other1353701PA · Highmark
Other163624PA · Medplus
Other2787821PA · Aetna Hmo
Other7064341PA · Aetna Ppo

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANY SEBBERN
Counselor (Mental Health)
851 COMMERCE BLVD
SCRANTON, PA 18519
Lackawanna County (570) 489-5561
TIFFANY MARIE MCCARY
Counselor (Mental Health)
851 COMMERCE BLVD
SCRANTON, PA 18519
Lackawanna County (570) 489-5561
NOEL FURMAN SLP
Rehabilitation Practitioner
851 COMMERCE BLVD, SUITE 107
DICKSON CITY, PA 18519
Lackawanna County (570) 489-5561
CHELSEA KRESGE
Counselor (Mental Health)
851 COMMERCE BLVD
DICKSON CITY, PA 18519
Lackawanna County (570) 489-5561
STEPHANIE ROBINSON
Behavior Technician
851 COMMERCE BLVD
DICKSON CITY, PA 18519
Lackawanna County (570) 489-5561
SHELBY LYNN CASEY
Behavior Analyst
851 COMMERCE BLVD
DICKSON CITY, PA 18519
Lackawanna County (570) 489-5561
PEDIATRIC AND ADULT THERAPY SERVICES
Occupational Therapist
851 COMMERCE BLVD, SUITE 107
DICKSON CITY, PA 18519
Lackawanna County (570) 489-5561
SHAINA LEAH TENENBAUM BA
Social Worker (Clinical)
851 COMMERCE BLVD
DICKSON CITY, PA 18519
Lackawanna County (570) 489-5561

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marisa Gross's NPI number?

The NPI number for Marisa Gross is 1104800119. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Where is Marisa Gross located?

Marisa Gross practices at 851 Commerce Blvd Suite 107, Dickson City, PA 18519. The listed phone number is (570) 489-5561.

What is Marisa Gross's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Marisa Gross was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.