Active NPI
Darsha Bitanga, MS CCC-SLP
- Speech-Language Pathologist
- Roswell, GA
National Provider Identifier
1851116917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ11275
- 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, 2024
- 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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| SZ11275 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stride Therapy Solutions Inc | Current | Accepting new patients | |
| Gait Mechanics, Inc | Speech-Language Pathologist | Current | 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.
-
- Home Health Agency
- Roswell, GA
- NPI 1023727310
-
- Physical Therapy Clinic/Center
- Lake Worth, FL
- NPI 1497199657
Speech-Language Pathologist
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.