KELLY GRACEK M.A., CCC-SLP
NPI 1285252569
Speech-Language Pathologist in Ponte Vedra, FL

Q: What is Kelly Gracek's NPI number?

The NPI number for Kelly Gracek is 1285252569. It was assigned to this individual provider in the NPPES registry on July 13, 2020. The provider is also known as Kelly Gatch M.A., Ccc-Slp.

Q: What is Kelly Gracek's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Gracek was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 13, 2020

90 FORT WADE RD SUITE 100 #1017, PONTE VEDRA, FL 32081(904) 834-9796 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2025, Dec 5, 2023, Jul 13, 2020 (3 updates tracked since 2020).

On this page

About Kelly Gracek M.a., Ccc-slp NPPES

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

KELLY GRACEK M.A., CCC-SLP (NPI 1285252569) is an individual speech-language pathologist provider in Ponte Vedra, Florida, licensed in Florida (SA20900) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1285252569

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameKELLY GRACEKCredential: M.A., CCC-SLP

Location Address90 FORT WADE RD SUITE 100 #1017Ponte Vedra, FL 32081

Mailing Address90 Fort Wade Rd, Suite 100 #1017Ponte Vedra, FL 32081

Phone(904) 834-9796

Sole ProprietorYes

Enumeration DateJuly 13, 2020

Last NPPES UpdateSeptember 8, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2025

✔ NPI 1285252569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

Licenses✔ Licensed in FL · SA20900✔ Licensed in NC · 30002434

Definition

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.

Other Names 1

Former Name (1)Kelly Gatch M.a., Ccc-slp

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 Kelly Gracek's NPI number?

The NPI number for Kelly Gracek is 1285252569. It was assigned to this individual provider in the NPPES registry on July 13, 2020. The provider is also known as Kelly Gatch M.A., Ccc-Slp.

Where is Kelly Gracek located?

Kelly Gracek practices at 90 Fort Wade Rd Suite 100 #1017, Ponte Vedra, FL 32081. The listed phone number is (904) 834-9796.

What is Kelly Gracek's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Kelly Gracek was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.