Fast Track Physical Therapy & Rehab Center LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FAST TRACK PHYSICAL THERAPY & REHAB CENTER LLC

Practice address

43648 Schoenherr Rd
Sterling Heights, MI 48313-1113

Phone

(586) 604-9184

Fax

(800) 679-9769

NPI assigned

Jul 29, 2019

Organization subpart

No

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

Authorized official

Name

Maria Teresa Trongco Bancolita-Cook, PTNPI 1235188343

Title

President/Ceo

Phone

(586) 604-9184

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Maria Teresa Trongco Bancolita-Cook, PT

  • Physical Therapist
  • Sterling Heights, MI
  • NPI 1235188343
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1174177190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43648 SCHOENHERR RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131113",
            "telephone_number": "248-420-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43648 SCHOENHERR RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131113",
            "telephone_number": "586-604-9184",
            "fax_number": "800-679-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAST TRACK PHYSICAL THERAPY & REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-29",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "BANCOLITA-COOK",
        "authorized_official_first_name": "MARIA TERESA",
        "authorized_official_middle_name": "TRONGCO",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "586-604-9184",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235188343",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174177190",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Louis Fanelli, DMD
• Ebram M Fanous, PT
• Atkia Farhana
• Fadi Farhat, D.D.S.
• Farmbrook Family Dentistry
• Megan Fauls
• Paul Faux, PHARMD
• Tawney Fay
• Imran Fayyaz, PTA
• Samantha Fearn

• Physical Therapy Clinic/Center in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.