Individual provider Active NPI

Darsha Bitanga, MS CCC-SLP

  • Speech-Language Pathologist
  • Roswell, GA
National Provider Identifier
1851116917
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ11275 Issued in FL
Practice address
645 Danas Ridge Dr
Roswell, GA 30075-6352
Phone
(561) 350-5855
Fax
(561) 880-8450
NPI assigned
Nov 22, 2024
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ11275 FL Primary

Addresses

Primary practice location

645 Danas Ridge Dr
Roswell, GA 30075-6352

Mailing address

4300 S Jog Rd Unit 541264
Greenacres, FL 33454-5056
Phone (305) 978-5910

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
SZ11275FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stride Therapy Solutions Inc CurrentSince Nov 24, 2024 Accepting new patients
Gait Mechanics, Inc Speech-Language Pathologist CurrentSince Nov 24, 2024 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1851116917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 S JOG RD UNIT 541264",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334545056",
            "telephone_number": "305-978-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 DANAS RIDGE DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300756352",
            "telephone_number": "561-350-5855",
            "fax_number": "561-880-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITANGA",
        "first_name": "DARSHA",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ11275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.