Safety Reminder:  In order to continue some degree of social distancing and safety, patients will only be allowed in the office during their scheduled treatment time, and unless necessary, family members will be requested to wait outside the office. Masks and gloves will be used as appropriate and usual standard precautions. When possible, paperwork will be sent ahead of the visit via email. If you prefer, telehealth visits are also available.

Medicare Expands Telehealth Services to Audiologists and SLPs until December 2024.


Our Mission

To enlist individuals in their treatment, to help them express their personality and spirit through voice, and to educate and empower.

Located in SW Florida, Voice Aerobics, LLC, is a speech-language pathology private practice, specializing in the treatment of adults with voice, speech, and swallowing problems associated with Parkinson’s and other Movement disorders, Dysphagia due to stroke or head and neck cancer, tracheostomy, and functional voice disorders. Traditional Medicare with supplement and various insurances accepted, including: Tricare, Optum Health, and United Healthcare. Please check directly with your carrier for coverage and in-network restrictions.

Practice locations:

  • Main office: 318 Tamiami Trail Unit 211 Punta Gorda, Fl 33950
  • Home visits in Port Charlotte and Punta Gorda (some restrictions apply). 
  • Teletherapy is available using HIPAA secure web platforms: ZOOM or
  • Weekly speech class SPEAK OUT!  for people with Parkinson’s meets Thursdays on ZOOM. Call for eligibility and to register.
  • Hablas español? Please visit Speech-Language Pathologist Monica Vital at: 

Telepractice and Online Coaching

Improve Speech, Voice Aerobics

Many speech-language pathology out-patients, perhaps even you, are unable to receive speech therapy treatment due to closures associated with the Coronavirus.

Medicare has now expanded Telehealth Services to Audiologists and SLPs During the COVID-19 Pandemic, and treatment visits are billed directly to insurance. United Healthcare and several other commercial insurance plans have also expanded telehealth coverage.

For this reason, you may want to investigate Telepractice and Online Coaching. I have been offering this for years and patients report great success with it. Using your home computer or tablet device you can connect with me for an assessment, treatment, or coaching, including help with use of any Voice Aerobics product.

Approved PhoRTE Provider Designation

LSVT® LOUD and SPEAK OUT® Speech Therapy for Parkinson’s patients.

PhoRTE provider

Home Programs/Training available:

  • PhoRTE (Phonation Resistance Exercise)
  • Voice Aerobics® – 3-Part Workout
  • Lingraphica® Aphasia Communication Device
  • Constant Therapy App for aphasia
  • eLOUD (LSVT LOUD) telepractice
  • Passy-Muir® Tracheostomy and Ventilator Swallowing and Speaking Valve

Ask Us About Device Interventions for Parkinson’s and Related Disorders

The following devices are new technologies that may help to improve loudness and normalize rate for some persons with Parkinsonism and are available for trial.

Speech Vive II


Swallowing Diagnostics Inc.

Voice Aerobics Swallowing Diagnostics Van, Swallowing Diagnostics Inc.

In addition to providing in-home speech-language, voice and swallowing disorders treatment, I have now teamed up with Swallowing Diagnostics Inc., Mobile Services for Swallowing Disorders.

With SDI, I can offer your patients state-of-the-art Modified Barium Swallowing Testing.

Patients do not have to travel for these services, as testing is available at the patient’s home, a written assessment and interpretation is completed immediately, and results are available to you within 24 hours.

Swallowing Diagnostics Inc. is a Medicare provider, and also accepts most HMO’s and PPO’s. Voice Aerobics® accepts Medicare assignment as well as numerous secondary insurances, including: Tricare, Optum, Humana, AARP United, and others.

Voice Aerobics Florida Telecommunications Relay Partner

Florida Telecommunications Relay, Inc (FTRI), which provides specialized telecommunications equipment for people who are deaf, hard of hearing, deaf/blind or speech impaired, is pleased to announce Voice Aerobics, LLC has become a Florida Relay Business Partner. By becoming a Relay Business Partner, Voice Aerobics has committed to building positive community relations, providing opportunities for all people to communicate and training for employees to receive and make telephone calls through the Florida Relay. (Visit the FTRI website.)

Our Awards

Fitour Certificied Primary Group Exercise Instructor awarded to Mary Spremulli

Fitour Certified Primary Group Exercise Instructor


Proud recipient of the Asha's Award for Continuing Education

Proud recipient of the Asha’s Award for Continuing Education

Mary Spremulli is Certified in:

Certified End of Life Specialist (CEOLS);Lee Silverman Voice Treatment (LSVT® LOUD); Lessac-Madsen Resonant Voice Treatment (LMRVT); PhoRTE (Phonation Resistance Exercise); Neurodevelopmental Treatment (NDT)

A Certified Member of

Optum Community Care Network

ASHA Certified Member

Member of the VA Community Care Network

Patients or Physicians can request an appointment:

Email: Phone: 941-204-1515 Fax: 941-296-7471

A note to patients regarding COVID-19

As a healthcare provider for over 30 years, I always take my health and the health of my patients seriously, and that includes practicing standard precautions.

What this means to you is:

  • Hand hygiene, including having hand sanitizer available in waiting and treatment areas
  • Using gloves if touching your face or mouth
  • Cleaning and disinfecting chairs, tables, and other shared surfaces after every patient visit
  • Asking patients or caregivers with colds to stay home, and to cover their mouth when coughing / sneezing

If you have any questions or are unsure if you should cancel a treatment visit, please call the office: 941-204-1515. Mary Spremulli, MA, CCC-SLP


Voice Aerobics Breathing Class

Join us for SPEAK OUT! and Voice Aerobics classes!

Join us for SPEAK OUT! a speech maintenance class and Voice Aerobics® classes held online and in-person in Punta Gorda/Port Charlotte and North Port, FL. (FITOUR Group Exercise Instructor). email or call to check class schedule.