Individual provider Active NPI

Tonya Hendley, CCC-SLP

  • Speech-Language Pathologist
  • San Antonio, TX
National Provider Identifier
1861113284
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
115798 Issued in TX
Practice address
6870 Heuermann Rd
San Antonio, TX 78256-9605
Phone
(210) 610-9097
NPI assigned
Sep 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2022

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 115798 TX Primary

Addresses

Primary practice location

6870 Heuermann Rd
San Antonio, TX 78256-9605

Mailing address

13002 Woller CRK
San Antonio, TX 78249-3715
Phone (512) 680-2980

Other practice location 1

18803 Hardy Oak Blvd
San Antonio, TX 78258-4961
Phone (512) 680-2980

Other identifiers 1

IdentifierTypeStateIssuer
115798OtherTXTDLR

Other names 1

  • Tonya Sottilo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
115798TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1861113284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13002 WOLLER CRK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493715",
            "telephone_number": "512-680-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6870 HEUERMANN RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782569605",
            "telephone_number": "210-610-9097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18803 Hardy Oak Blvd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584961",
            "country_code": "US",
            "telephone_number": "512-680-2980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDLEY",
        "first_name": "TONYA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "115798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TDLR",
            "identifier": "115798",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONYA",
            "last_name": "SOTTILO",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; 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.