Caitlyn Summer Longoria

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA22935 Issued in FL

Practice address

4524 Boat Club Rd Ste 180
Fort Worth, TX 76135-7025

Phone

(817) 764-3825

NPI assigned

Mar 4, 2024

Last updated

Sep 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in TX, FL2 enrollments

Enrollment records 2

Specialty

Qualified Speech Language Pathologist

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Expressable Speech-Language Pathology PCGroup PAC ID 4688074511, 115 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Expressable Speech-Language Pathology, P.C.

  • Speech-Language Pathologist
  • Austin, TX
  • NPI 1649875857

  FL

  Medicare reassignment Care Compare group NPD
• Little Red Wagon Pediatric Therapy, LLC

  • Speech-Language Pathologist
  • Fort Worth, TX
  • NPI 1831569052
  NPD

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1477310654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4524 BOAT CLUB RD STE 180",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761357025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4524 BOAT CLUB RD STE 180",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761357025",
            "telephone_number": "817-764-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGORIA",
        "first_name": "CAITLYN",
        "middle_name": "SUMMER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA22935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Anna Long, DD
• Kristen Longeway
• Longhorn Behavioral Services LLC (Texas Care Stop 6)
• Longhorn Brain and Spine PLLC
• Viviana Lauren Longoria-Ortiz, CPNP-PC
• Summer Michelle Longoria, PA
• Mary Lonsberry, FNP-C
• Gary Steve Looney, MT007903
• Kara Looten, PHYSICAL THERAPIST
• Katheryn Lopez Arjona, CBS

• Speech-Language Pathologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.