Adaptive Medical LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

ADAPTIVE MEDICAL LLC

Practice address

2123 Grove St
Sarasota, FL 34239-4622

Phone

(239) 209-1415

NPI assigned

Nov 3, 2020

Organization subpart

No

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

Authorized official

Name

Christopher Matthew Duffy, PA-CNPI 1649817552

Title

Owner

Phone

(239) 209-1415

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Christopher Matthew Duffy, PA

  • Medical Physician Assistant
  • Sarasota, FL
  • NPI 1649817552
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1992306401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 GROVE ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342394622",
            "telephone_number": "239-209-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 GROVE ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342394622",
            "telephone_number": "239-209-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAPTIVE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-209-1415",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Adams, P.A.-C
• Vickie Lynne Adams, AU.D
• Zachary Robert Adams, CRNA
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• Christopher Darrell Adamson, M.D.
• Adbrecare LLC
• Yusif Addae, M.D
• Stacey E Addams, PT
• Marylexis Adir
• Adjust Your Life Chiropractic Sarasota LLC

• Adult Medicine Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.