Breakthrough Med Transport LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

BREAKTHROUGH MED TRANSPORT LLC

Practice address

2110 N Donnelly St Ste 500
Mount Dora, FL 32757-6968

Phone

(321) 362-4176

Fax

(321) 256-5176

NPI assigned

Jan 27, 2021

Organization subpart

Yes

Parent organization

BREAKTHROUGH TRANSITIONS LLCAs reported in NPPES

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

Authorized official

Name

Stephanie McShan, LCSWNPI 1942550033

Title

Owner/ Provider

Phone

(407) 616-1530

Specialties & licenses 3

Addresses

Other names 1

• Breakthrough Transitions LLC Doing business as

Part of

Breakthrough Transitions LLC

Locations

Practitioners 1

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

• Stephanie Albertha McShan, LCSW

  • Clinical Social Worker
  • Mount Dora, FL
  • NPI 1942550033
  NPD Authorized official

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1003407628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639",
            "city": "PLYMOUTH",
            "state": "FL",
            "postal_code": "327680639",
            "telephone_number": "407-616-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 N DONNELLY ST STE 500",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576968",
            "telephone_number": "321-362-4176",
            "fax_number": "321-256-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHROUGH MED TRANSPORT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BREAKTHROUGH TRANSITIONS LLC",
        "enumeration_date": "2021-01-27",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "MCSHAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER/ PROVIDER",
        "authorized_official_telephone_number": "407-616-1530",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breakthrough Transitions LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Breakthrough Transitions LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimber Anne Bouchard, NP
• Sean Aleksandr Bowers
• Thomas L Bowers IV, DMD, MD
• Cheryl Lynn Bradford, NP-C
• Cherry Brannum
• Breakthrough Transitions LLC
• Breakthrough Transitions LLC
• Arianna Brock
• Jessica Brooks
• Azalee L Brown

• Non-emergency Medical Transport (VAN) in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.