Austin Speech Therapy PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

AUSTIN SPEECH THERAPY PLLC

Practice address

4202 Spicewood Springs Rd Ste 116
Austin, TX 78759-8621

Phone

(737) 826-0393

Fax

(512) 617-7443

NPI assigned

Sep 20, 2022

Organization subpart

No

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

Authorized official

Name

Angela Sotolongo-Grewal, SLPNPI 1588078257

Title

Owner

Phone

(737) 826-0393

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

  • Speech-Language Pathologist
  • Austin, TX
  • NPI 1588078257
  Medicare reassignment NPD Authorized official
• Tamra Weber Zehner, LMSW

  • Clinical Social Worker
  • Austin, TX
  • NPI 1285708040
  NPD (past)

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1861115438",
    "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": "4202 SPICEWOOD SPRINGS RD STE 116",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598621",
            "telephone_number": "737-826-0393",
            "fax_number": "512-617-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN SPEECH THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "SOTOLONGO-GREWAL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "737-826-0393",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Austin Speech Pathology, PLLC
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• Austin Sports Chiropractic PLLC
• Austin Sports Medicine LLP
• Austin Sports Physical Therapy
• Austin Sports Therapy

• Speech-Language Pathologist in Austin, TX
• Providers in Austin, 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 18, 2024; 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.