Terence Antonius, SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP8999 Issued in CA

Practice address

2131 Shelter Island Dr
San Diego, CA 92106-3106

Phone

(949) 280-7707

NPI assigned

May 15, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1194415943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 SHELTER ISLAND DR # 105-534",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062743",
            "telephone_number": "949-280-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 SHELTER ISLAND DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921063106",
            "telephone_number": "949-280-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONIUS",
        "first_name": "TERENCE",
        "credential": "SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP8999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Anne Antonio
• Delmore Antonio
• Kevin Neil Antonio, M.D.
• Kyle Antonio, PTA
• Renz Anthony Tan Antonio, DDS
• Julie Antonova, M.D.
• Kenneth Andrew Antons, M.D.
• Tara Antonucci, AGACNP-BC
• Michelle M Antony
• Paul T. Antony, MD, MPH, MBA

• Speech-Language Pathologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.