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Javier Antonio Rivera , MS, CCC-SLP

Speech-Language Pathologist β€’ Crystal River, FL

Active NPI 1184379513 Individual Practitioner Male Practitioner
Practice location in NPPES

136 Ne 12th Ave
Crystal River, FL 344294553

Call 3527955044 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

136 Ne 12th Ave

Crystal River, FL 344294553

Telephone 3527955044
Fax 3527955848
Organization at the Same NPPES Address or Phone
Northport Health Services Of Florida, Llc Facility NPI 1396790622

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Crystal River and Florida

25 active clinicians are listed under Speech-Language Pathologist with a practice address in Crystal River, FL (11,513 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Crystal River

0% of these 25 clinicians have the CMS telehealth indicator.

8% of these 25 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-05-10
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES FL SA21164

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES AZ SLP15378

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
117181500 (FL)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
πŸ“
Updated Practice Location May 10, 2026

Registered at 136 NE 12TH AVE, CRYSTAL RIVER, FL 344294553 (Tel: 3527955044)

πŸ“
Updated Business Mailing Address May 10, 2026

Registered at 660 N HEATHROW DR, LECANTO, FL 344618110 (Tel: 3524620026)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2024

Speech-Language Pathologist (license number reported to NPPES: AZ SLP15378)

πŸ“
Updated Practice Location May 02, 2024

Registered at 2790 W LAUREEN ST, LECANTO, FL 344619503 (Tel: 7274372892)

πŸ“
Updated Business Mailing Address May 02, 2024

Registered at 2790 W LAUREEN ST, LECANTO, FL 344619503 (Tel: 7274372892)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2024

Speech-Language Pathologist (license number reported to NPPES: FL SA21164)

πŸ“
Updated Practice Location July 31, 2023

Registered at 36430 US HIGHWAY 19 N, PALM HARBOR, FL 346841330 (Tel: 7273300240)

πŸ“
Updated Practice Location July 02, 2023

Registered at 11375 CORTEZ BLVD, BROOKSVILLE, FL 346135409 (Tel: 3525966632)

πŸ‘€
Provider Name / Credentials Updated February 04, 2023

Recorded as JAVIER RIVERA, MS, CCC-SLP

βœ…
NPI Profile Active February 16, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 16, 2022

Registered at 11820 DENTON AVE, HUDSON, FL 346675419 (Tel: 7278629101)

πŸ“
Business Mailing Address (Initial Record) February 16, 2022

Registered at 3033 JACOB CROSSING LN, HOLIDAY, FL 346916848 (Tel: 8134160141)

πŸ‘€
Provider Name / Credentials (Initial Record) February 16, 2022

Recorded as JAVIER RIVERA, MS, CF-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2022

Speech-Language Pathologist (license number reported to NPPES: FL SZ10555)

🟒
Initial NPI Registration & Enumeration February 15, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1184379513
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2022
Last Update: May 10, 2026
Sole Proprietor: Yes

Mailing Address

660 N Heathrow Dr

Lecanto, FL 344618110

Phone: 3524620026

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.