Active NPI
Ritu Walia, CCC-SLP
- Speech-Language Pathologist
- Duluth, GA
National Provider Identifier
1821621889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- PCET003005
- Practice address
- 1655 Centerview Dr Apt 313
Duluth, GA 30096-8918 - Phone
- (609) 626-2951
- NPI assigned
- Feb 18, 2020
- 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 | PCET003005 | GA | Primary |
Addresses
Primary practice location
1655 Centerview Dr Apt 313
Duluth, GA 30096-8918
Mailing address
12 Royal CT Apt E
Wayne, NJ 07470-7845
Phone (609) 626-2951
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCET003005 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1821621889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 ROYAL CT APT E",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074707845",
"telephone_number": "609-626-2951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 CENTERVIEW DR APT 313",
"city": "DULUTH",
"state": "GA",
"postal_code": "300968918",
"telephone_number": "609-626-2951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALIA",
"first_name": "RITU",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-18",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "PCET003005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.