Antonio Peterson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

116164 Issued in TX

Practice address

810 S Mason Rd
Katy, TX 77450-3895

Phone

(818) 894-2273

Fax

(818) 357-2505

NPI assigned

Jun 11, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, CA2 enrollments

Enrollment records 2

Specialty

Qualified Speech Language Pathologist

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Slptele LLCGroup PAC ID 5395163174, 84 clinicians

All Care Physical Therapy, PCGroup PAC ID 5890972335, 174 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations (25 of 36)

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.

• All Care Physical Therapy, P.C.

  • Physical Therapist
  • Woodland Hills, CA
  • NPI 1104120385

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Slptele LLC

  • Speech-Language Pathologist
  • Las Vegas, NV
  • NPI 1497393557

  CA, TX

  Medicare reassignment Care Compare group NPD
• Seersoft

  • Physical Therapist
  • Granada Hills, CA
  • NPI 1790928901
  NPD (past)

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1740773217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 AGUA MINERAL PL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799289056",
            "telephone_number": "817-727-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 S MASON RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774503895",
            "telephone_number": "818-894-2273",
            "fax_number": "818-357-2505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "599 S Barranca Ave Ste 555",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "917232791",
            "country_code": "US",
            "telephone_number": "818-894-2273",
            "fax_number": "818-357-2505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6420 Wilshire Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900485521",
            "country_code": "US",
            "telephone_number": "818-894-2273",
            "fax_number": "818-357-2505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 Pollard Rd",
            "address_purpose": "LOCATION",
            "city": "Los Gatos",
            "state": "CA",
            "postal_code": "950321438",
            "country_code": "US",
            "telephone_number": "863-465-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3356 W Ball Rd Ste 219",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928043728",
            "country_code": "US",
            "telephone_number": "818-894-2273",
            "fax_number": "818-357-2505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4300 Long Beach Blvd Ste 700",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908072000",
            "country_code": "US",
            "telephone_number": "818-894-2273",
            "fax_number": "818-357-2505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5806 Pacific Blvd",
            "address_purpose": "LOCATION",
            "city": "Huntington Park",
            "state": "CA",
            "postal_code": "902552618",
            "country_code": "US",
            "telephone_number": "818-894-2273",
            "fax_number": "818-357-2505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16320 Roscoe Blvd",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914061250",
            "country_code": "US",
            "telephone_number": "818-894-2273",
            "fax_number": "818-357-2505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8929 Aero Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921232231",
            "country_code": "US",
            "telephone_number": "858-277-2277",
            "fax_number": "818-357-2505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ANTONIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-11",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "16151",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "116164",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "28161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Perry, RBT
• Shelby Perry, SLP-A
• Crystal Perryman
• Mohammad Haris Pervaiz, MD
• Peter'S Non-Emergency Medical Transportation
• Bethany Ann Peterson, M.D.
• Charles William Peterson IV, MA, BCBA
• Julie Kroll Peterson, AGACNP-BC
• Krisztina Petho-Robertson, M.ED., LPC
• Kynedi Petitt

• Speech-Language Pathologist in Katy, TX
• Providers in Katy, 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 Aug 31, 2026; 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.