Active NPI
Christina Rivera Ortiz, MS CCC SLP
- Speech-Language Pathologist
- Belton, TX
National Provider Identifier
1376808089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 114246
- Practice address
- 1008 Arbor Park Drive
Suite B
Belton, TX 76513 - Phone
- (254) 598-2620
- NPI assigned
- Jul 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 114246 | TX | Primary |
| Speech-Language Pathologist | 235Z00000X | 4783 | TN |
Addresses
Primary practice location
1008 Arbor Park Drive
Suite B
Belton, TX 76513
Mailing address
8705 Surrey CT
Temple, TX 76502-5283
Phone (787) 508-6942
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4783 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Therapy Specialties LLC | Single Specialty | Current | Accepting new patients |
Locations
4900 Sanger Ave
Waco, TX 76710
Phone (254) 644-2423
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1376808089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8705 SURREY CT",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765025283",
"telephone_number": "787-508-6942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 ARBOR PARK DRIVE",
"address_2": "SUITE B",
"city": "BELTON",
"state": "TX",
"postal_code": "76513",
"telephone_number": "254-598-2620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA ORTIZ",
"first_name": "CHRISTINA",
"credential": "MS CCC SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-09",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "114246",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "4783",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.