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Dayna Vivacqua Revetti , MA CCC-SLP

Speech-Language Pathologist β€’ Poland, OH

Active NPI 1053688762 Individual Practitioner Female Practitioner
Practice location in NPPES

135 Heron Bay Dr
Poland, OH 445143200

Call 3307200915 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

135 Heron Bay Dr

Poland, OH 445143200

Telephone 3307200915
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Delaware, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2011

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 Poland and Ohio

11 active clinicians are listed under Speech-Language Pathologist with a practice address in Poland, OH (7,644 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Poland

0% of these 11 clinicians have the CMS telehealth indicator.

0% of these 11 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: 2023-05-23
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES OH SP10018

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: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
2095254 (OH)

Secondary Practice Locations

494 W Central Ave, Suite 1

Delaware, OH 430151470

Phone: 7403693650

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location May 23, 2023

Registered at 135 HERON BAY DR, POLAND, OH 445143200 (Tel: 3307200915)

πŸ“
Updated Business Mailing Address May 23, 2023

Registered at 135 HERON BAY DR, POLAND, OH 445143200 (Tel: 3307200915)

πŸ‘€
Provider Name / Credentials Updated May 23, 2023

Recorded as DAYNA REVETTI, MA CCC-SLP

βœ…
NPI Profile Active February 21, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 21, 2012

Registered at 494 W CENTRAL AVE, SUITE 1, DELAWARE, OH 430151470 (Tel: 7403693650)

πŸ“
Business Mailing Address (Initial Record) February 21, 2012

Registered at 494 W CENTRAL AVE, SUITE 1, DELAWARE, OH 430151470 (Tel: 7403693650)

πŸ‘€
Provider Name / Credentials (Initial Record) February 21, 2012

Recorded as DAYNA VIVACQUA REVETTI, MA CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2012

Speech-Language Pathologist (license number reported to NPPES: OH SP10018)

🟒
Initial NPI Registration & Enumeration November 23, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1053688762
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 23, 2011
Last Update: May 23, 2023
Sole Proprietor: Yes

Mailing Address

135 Heron Bay Dr

Poland, OH 445143200

Phone: 3307200915

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.