Active NPI
Darrell Battle
- Speech-Language Pathologist
- Casselberry, FL
National Provider Identifier
1609922004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SI 1090
- Practice address
- 1100 Pointe Newport Ter
# 206
Casselberry, FL 32707-7246 - Phone
- (407) 672-2145
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- Sole proprietor
- No
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 | SI 1090 | FL | Primary |
Addresses
Primary practice location
1100 Pointe Newport Ter
# 206
Casselberry, FL 32707-7246
Mailing address
1100 Pointe Newport Ter
# 206
Casselberry, FL 32707-7246
Phone (407) 672-2145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240124004217 | FL | Practitioner - Qualified Speech Language Pathologist | 5496108573 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SI 1090 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ap Therapy LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Ap Therapy LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1297 US Highway 27 N
Lake Placid, FL 33852
Phone (407) 276-5023
160 Islander Ct
Longwood, FL 32750
Phone (407) 260-1108
Organizations & group practices 4
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.
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- Englewood Cliffs, NJ
- NPI 1699552646
FL, Speech-Language Pathologist
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609922004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 POINTE NEWPORT TER",
"address_2": "# 206",
"city": "CASSELBERRY",
"state": "FL",
"postal_code": "327077246",
"telephone_number": "407-672-2145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 POINTE NEWPORT TER",
"address_2": "# 206",
"city": "CASSELBERRY",
"state": "FL",
"postal_code": "327077246",
"telephone_number": "407-672-2145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATTLE",
"first_name": "DARRELL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SI 1090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casselberry, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.