Stops Fasttrack, LLC

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

11-00005304 Issued in FL

Legal business name

STOPS FASTTRACK, LLC

Practice address

8855 Grissom Pkwy
Titusville, FL 32780-7904

Phone

(866) 285-5652

Fax

(321) 383-5430

NPI assigned

Apr 5, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Robert A Cook

Title

President

Phone

(321) 383-4111

Specialties & licenses 2

Addresses

Other names 1

• Fast Track Doing business as

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1255620894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8855 GRISSOM PKWY",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327807904",
            "telephone_number": "866-285-5652",
            "fax_number": "321-383-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8855 GRISSOM PKWY",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327807904",
            "telephone_number": "866-285-5652",
            "fax_number": "321-383-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOPS FASTTRACK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-383-4111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "FL",
            "license": "11-00005304",
            "primary": true
        },
        {
            "code": "171WV0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Vehicle Modifications",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fast Track",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Starks, RBT
• Patricia Ann Stelzriede, PSY.D.
• Stephanie Stevens
• Annette Stewart
• Stops Enterprises, LLC
• Mark Schuman Storey, M.D.
• Karen Ann Stout, ARNP
• Dallas Stover, PHARMD
• Jennifer D Stowers, M.A., L.M.H.C.
• Adam Suarez

• Home Modifications Contractor in Titusville, FL
• Providers in Titusville, FL by specialty
• Home Modifications Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.