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, 2018
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: September 06, 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 14300 Long Beach Blvd Ste 700Long Beach, CA 90807-2000 · Phone (818) 894-2273 · Fax (818) 357-2505
Location 216320 Roscoe BlvdVan Nuys, CA 91406-1250 · Phone (818) 894-2273 · Fax (818) 357-2505
Location 3815 Pollard RdLos Gatos, CA 95032-1438 · Phone (863) 465-7200
Location 46420 Wilshire Blvd Ste 600Los Angeles, CA 90048-5521 · Phone (818) 894-2273 · Fax (818) 357-2505
Location 55806 Pacific BlvdHuntington Park, CA 90255-2618 · Phone (818) 894-2273 · Fax (818) 357-2505
Location 6599 S Barranca Ave Ste 555Covina, CA 91723-2791 · Phone (818) 894-2273 · Fax (818) 357-2505
Location 78929 Aero Dr Ste ESan Diego, CA 92123-2231 · Phone (858) 277-2277 · Fax (818) 357-2505
Location 83356 W Ball Rd Ste 219Anaheim, CA 92804-3728 · Phone (818) 894-2273 · Fax (818) 357-2505

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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

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.

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
Occupational Therapist
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.

What insurance does Antonio Peterson accept?

Health plans from Community Health Choice list Antonio Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 12 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.