Momentum Speech Therapy of Knoxville, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

MOMENTUM SPEECH THERAPY OF KNOXVILLE, LLC

Practice address

9111 Cross Park Dr Ste D200
Knoxville, TN 37923-4521

Phone

(865) 470-4131

Fax

(865) 221-8109

NPI assigned

Jul 23, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Olga Carniello, MS CCC-SLPNPI 1346584893

Title

Owner/Provider

Phone

(865) 470-4131

Specialties & licenses 1

Addresses

Other names 1

• Momentum Speech Therapy of Knoxville, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 1

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

• Olga Carniello, M.S.

  • Speech-Language Pathologist
  • Knoxville, TN
  • NPI 1346584893
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1093324261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9111 CROSS PARK DR STE D200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234521",
            "telephone_number": "865-470-4131",
            "fax_number": "865-221-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9111 CROSS PARK DR STE D200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234521",
            "telephone_number": "865-470-4131",
            "fax_number": "865-221-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM SPEECH THERAPY OF KNOXVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "CARNIELLO",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "865-470-4131",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Momentum Speech Therapy of Knoxville, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Todd A Moles, CRNA
• Susan Carol Molitor, M.A. CCC-SLP
• Michael John Molloy, DDS
• Christine Ann Molnar, PT
• Terry Molnar, PH.D.
• Valerie Noelly Monarrez
• Anna Moncada
• Samantha Lynn Monday, LADAC II, CADC II
• Stephanie Monday, LPC/MHSP
• Tausha R Monday

• Speech-Language Pathologist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.