Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANTONIO PETERSON
NPI 1740773217
Speech-Language Pathologist in Katy, TX

Active since June 11, 2018Accepts Medicare Assignment
810 S MASON RD, KATY, TX 77450(818) 894-2273(818) 357-2505 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 31, 2026, Jun 11, 2018 (2 updates tracked since 2018).

About Antonio Peterson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTONIO PETERSON (NPI 1740773217) is an individual speech-language pathologist provider in Katy, Texas, licensed in Texas (116164) and active in the NPI registry since June 2018. He maintains 8 additional practice locations and is a graduate of Other (2021).

NPPES Registry Identity

NPI1740773217
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameANTONIO PETERSON
Location Address810 S MASON RDKaty, TX 77450-3895
Mailing Address830 Agua Mineral PlEl Paso, TX 79928-9056 · (817) 727-7069
Fax(818) 357-2505
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 11, 2018
Last NPPES UpdateAugust 31, 20262 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
✔ NPI 1740773217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses✔ Licensed in TX · 116164✔ Licensed in FL · 16151✔ Licensed in CA · 28161
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
810 S MASON RD, Katy, TX 77450

Secondary Practice Locations 8

Location 18929 Aero Dr Ste ESan Diego, CA 92123-2231 · Phone (858) 277-2277 · Fax (818) 357-2505
Location 216320 Roscoe BlvdVan Nuys, CA 91406-1250 · Phone (818) 894-2273 · Fax (818) 357-2505
Location 34300 Long Beach Blvd Ste 700Long Beach, CA 90807-2000 · Phone (818) 894-2273 · Fax (818) 357-2505
Location 45806 Pacific BlvdHuntington Park, CA 90255-2618 · Phone (818) 894-2273 · Fax (818) 357-2505
Location 53356 W Ball Rd Ste 219Anaheim, CA 92804-3728 · Phone (818) 894-2273 · Fax (818) 357-2505
Location 6815 Pollard RdLos Gatos, CA 95032-1438 · Phone (863) 465-7200
Location 7599 S Barranca Ave Ste 555Covina, CA 91723-2791 · Phone (818) 894-2273 · Fax (818) 357-2505
Location 86420 Wilshire Blvd Ste 600Los Angeles, CA 90048-5521 · Phone (818) 894-2273 · Fax (818) 357-2505

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Antonio Peterson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284144668
PECOS Enrollment IDI20250605004224, I20250618003728

Medicare Billing Reassignments

2

Medicare enrollment records show Antonio Peterson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Behavior Analyst
810 S MASON RD STE 315
Katy, TX 77450
  • Reassigned Medicare billing, California and Texas enrollments
  • 124 clinicians in this Medicare group
Physical Therapist
6320 CANOGA AVE FL 15
Woodland Hills, CA 91367
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: All Care Physical Therapy, PC
  • 266 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
810 S MASON RD
KATY, TX 77450
Speech-Language Pathologist
810 S MASON RD
KATY, TX 77450
Speech-Language Pathologist
810 S MASON RD
KATY, TX 77450
Dentist
810 S MASON RD, STE 215
KATY, TX 77450
Speech-Language Pathologist
810 S MASON RD
KATY, TX 77450
Speech-Language Pathologist
810 S MASON RD
KATY, TX 77450
Speech-Language Pathologist
810 S MASON RD
KATY, TX 77450
Speech-Language Pathologist
810 S MASON RD
KATY, TX 77450

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antonio Peterson's NPI number?

The NPI number for Antonio Peterson is 1740773217. It was assigned to this individual provider in the NPPES registry on June 11, 2018.

Where is Antonio Peterson located?

Antonio Peterson practices at 810 S Mason Rd, Katy, TX 77450. The listed phone number is (818) 894-2273.

What is Antonio Peterson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Antonio Peterson enrolled in Medicare?

Yes. Antonio Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Antonio Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antonio Peterson reassigns Medicare benefits to 2 organizations: Slptele LLC (Katy, TX) and All Care Physical Therapy, P.C. (Woodland Hills, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Antonio Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Antonio Peterson was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.