Individual provider Active NPI

Angela Edda Sotolongo-Grewal, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Austin, TX
National Provider Identifier
1588078257
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
4807 Spicewood Springs Rd Ste 1120
Austin, TX 78759-8435
Phone
(737) 326-0393
Fax
(512) 617-7443
NPI assigned
Jun 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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 Primary

Addresses

Primary practice location

4807 Spicewood Springs Rd Ste 1120
Austin, TX 78759-8435

Mailing address

4807 Spicewood Springs Rd Ste 1120
Austin, TX 78759-8435
Phone (737) 326-0393

Other names 1

  • Angela Sotolongo Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221025003123 TX Practitioner - Qualified Speech Language Pathologist 3274909775 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Speech Therapy PLLC Speech-Language Pathologist CurrentSince Sep 1, 2022 Accepting new patients

Locations

4807 Spicewood Springs Rd
Ste 1120
Austin, TX 78759
Phone (512) 346-0079

4202 Spicewood Springs Rd
Ste 116
Austin, TX 78759
Phone (512) 537-8497

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": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1588078257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 SPICEWOOD SPRINGS RD STE 1120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598435",
            "telephone_number": "737-326-0393",
            "fax_number": "512-617-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 SPICEWOOD SPRINGS RD STE 1120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598435",
            "telephone_number": "737-326-0393",
            "fax_number": "512-617-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTOLONGO-GREWAL",
        "first_name": "ANGELA",
        "middle_name": "EDDA",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "SOTOLONGO",
            "credential": "MS, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.

Verify at the official NPI Registry.