Provider Demographics
NPI:1386816890
Name:TEAM ADAPTIVE INC
Entity Type:Organization
Organization Name:TEAM ADAPTIVE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTTY
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHONEWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:228-388-5700
Mailing Address - Street 1:978 TOMMY MUNRO DR
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39532-2130
Mailing Address - Country:US
Mailing Address - Phone:228-388-5700
Mailing Address - Fax:228-385-2237
Practice Address - Street 1:1201 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32401-2432
Practice Address - Country:US
Practice Address - Phone:850-522-0059
Practice Address - Fax:850-522-0520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-25
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
1285730003Medicare NSC