Individual provider Active NPI

Bridgett Elaine Dimant, M.S, CCC-SLP

  • Speech-Language Pathologist
  • Winter Garden, FL
National Provider Identifier
1053489328
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ 3968 Issued in FL
Practice address
13750 W Colonial Dr Ste 350-121
Winter Garden, FL 34787-4204
Phone
(407) 285-7907
Fax
(407) 992-9368
NPI assigned
Dec 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X SZ 3968 FL Primary

Addresses

Primary practice location

13750 W Colonial Dr Ste 350-121
Winter Garden, FL 34787-4204

Mailing address

13750 W Colonial Dr Ste 350-121
Winter Garden, FL 34787-4204
Phone (407) 285-7907

Other identifiers 2

IdentifierTypeStateIssuer
010665400MedicaidFL
890306900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SZ 3968FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chrysalis Center for Autism Corp Current Accepting new patients
Metamorphosis Therapy, LLC Speech-Language Pathologist Current Accepting new patients
Metamorphosis Therapy LLC Current Accepting new patients

Locations

301 S Tubb St
Ste A1
Oakland, FL 34760
Phone (407) 395-9976

13750 W Colonial Dr
Ste 350121
Winter Garden, FL 34787
Phone (407) 285-7907

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1053489328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13750 W COLONIAL DR STE 350-121",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874204",
            "telephone_number": "407-285-7907",
            "fax_number": "407-992-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13750 W COLONIAL DR STE 350-121",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874204",
            "telephone_number": "407-285-7907",
            "fax_number": "407-992-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMANT",
        "first_name": "BRIDGETT",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "M.S, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-02",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ 3968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010665400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890306900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.