Theresa Bartolotta, PH.D., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP010242 Issued in GA

Practice address

2530 Muskogee LN
Braselton, GA 30517-6003

Phone

(732) 580-0283

NPI assigned

Jun 23, 2017

Last updated

Jul 16, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tender Ones Therapy Services, IncGroup PAC ID 1153671953, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Tender Ones Therapy Services, Inc.

  • Pediatric Physical Therapist
  • Dacula, GA
  • NPI 1063667970
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1891215547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 MUSKOGEE LN",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305176003",
            "telephone_number": "732-580-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 MUSKOGEE LN",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305176003",
            "telephone_number": "732-580-0283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2089 Teron Trce Ste 120",
            "address_purpose": "LOCATION",
            "city": "Dacula",
            "state": "GA",
            "postal_code": "300191609",
            "country_code": "US",
            "telephone_number": "770-904-6009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTOLOTTA",
        "first_name": "THERESA",
        "name_prefix": "Dr.",
        "credential": "PH.D., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP010242",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "YS01881",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Song Badaracco, OD
• Ashley Banks, FNP-C
• Allen Barbarovich, MD
• Kimberly Michell Barrett, D.O.
• Corey Barron, AGACNP
• Gary S. Bauman, PH.D., LPC
• Maria Antonia Renee Baumgartner, MD
• Stephanie Nicole Bayer
• Adrianna Marie Bell, FNP-C
• Michael Billingsley, DDS

• Speech-Language Pathologist in Braselton, GA
• Providers in Braselton, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.