Organization Active NPI

Motormouth Pediatric Development, LLC

  • Speech-Language Pathologist
  • Lancaster, SC
National Provider Identifier
1912665308
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MOTORMOUTH PEDIATRIC DEVELOPMENT, LLC
Practice address
1103 Crawford Dr
Lancaster, SC 29720-0056
Phone
(704) 621-6997
Fax
(864) 712-9236
NPI assigned
Dec 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Authorized official

Name
Panagiotis Ziozios, M.S., CCC-SLPNPI 1467009589
Title
Owner/SLP
Phone
(704) 621-6997

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1103 Crawford Dr
Lancaster, SC 29720-0056

Mailing address

1103 Crawford Dr
Lancaster, SC 29720-0056
Phone (704) 621-6997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20211210000004 SC Part B Supplier - Clinic/Group Practice 4789074576 Practice locations: Lancaster, SC
O20211214000246 NC Part B Supplier - Clinic/Group Practice 4789074576 Receives reassigned benefits from 1 practitioner
Practice locations: Matthews, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1912665308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 CRAWFORD DR",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297200056",
            "telephone_number": "704-621-6997",
            "fax_number": "864-712-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 CRAWFORD DR",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297200056",
            "telephone_number": "704-621-6997",
            "fax_number": "864-712-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTORMOUTH PEDIATRIC DEVELOPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "ZIOZIOS",
        "authorized_official_first_name": "PANAGIOTIS",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "704-621-6997",
        "authorized_official_credential": "M.S., 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": []
}

Other providers in Lancaster, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.