Individual provider Active NPI

Leonardo Longoria, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Weslaco, TX
National Provider Identifier
1336605021
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
112491 Issued in TX
Practice address
1813 E 28TH St
Weslaco, TX 78596-3778
Phone
(956) 463-7833
NPI assigned
Feb 18, 2019
Last updated
Feb 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 112491 TX Primary

Addresses

Primary practice location

1813 E 28TH St
Weslaco, TX 78596-3778

Mailing address

1813 E 28TH St
Weslaco, TX 78596-3778
Phone (956) 463-7833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231101003775 TX Practitioner - Qualified Speech Language Pathologist 8729434345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Healing Hands LLCGroup PAC ID 7719268861, 6 clinicians

Practice addresses (Care Compare)

3475 W Alton Gloor Blvd
Suite D
Brownsville, TX 78520-4475
Phone (956) 667-5050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
112491TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Healing Hands LLC Single Specialty CurrentSince Oct 18, 2023 Accepting new patients
Dolphin Diagnostic Solutions LLC CurrentSince Oct 18, 2023 Accepting new patients

Locations

1225 N Expressway
Ste 2A
Brownsville, TX 78520
Phone (956) 667-5050

234 N Expressway
#A
Brownsville, TX 78521
Phone (956) 667-5050

234 N Expressway
Ste A
Brownsville, TX 78521

234 N Expressway
Ste B
Brownsville, TX 78521

3475 W Alton Gloor Blvd
Ste D
Brownsville, TX 78520
Phone (956) 350-2143

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1336605021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 E 28TH ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785963778",
            "telephone_number": "956-463-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 E 28TH ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785963778",
            "telephone_number": "956-463-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGORIA",
        "first_name": "LEONARDO",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "112491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.