Active NPI
Amanda Ditomaso, CCC-SLP
- Speech-Language Pathologist
- South Windsor, CT
National Provider Identifier
1366917288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 005101
- Practice address
- 8-5 Arthur Dr
South Windsor, CT 06074-3646 - Phone
- (860) 268-2443
- NPI assigned
- Oct 7, 2018
- Last updated
- Oct 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 005101 | CT | Primary |
Addresses
Primary practice location
8-5 Arthur Dr
South Windsor, CT 06074-3646
Mailing address
8-5 Arthur Dr
South Windsor, CT 06074-3646
Phone (860) 268-2443
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005101 | CT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538870400000",
"number": "1366917288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8-5 ARTHUR DR",
"city": "SOUTH WINDSOR",
"state": "CT",
"postal_code": "060743646",
"telephone_number": "860-268-2443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8-5 ARTHUR DR",
"city": "SOUTH WINDSOR",
"state": "CT",
"postal_code": "060743646",
"telephone_number": "860-268-2443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DITOMASO",
"first_name": "AMANDA",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-07",
"last_updated": "2018-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "005101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.