Organization Active NPI

Altus Chiropractic LLC

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1073202461
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ALTUS CHIROPRACTIC LLC
Practice address
4231 W Bay to Bay Blvd
Tampa, FL 33629-6605
Phone
(813) 600-0618
Fax
(855) 835-5789
NPI assigned
May 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Authorized official

Name
Dr. Osama Shayeb, DCNPI 1205461829
Title
Owner
Phone
(312) 330-8788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

4231 W Bay to Bay Blvd
Tampa, FL 33629-6605

Mailing address

4231 W Bay to Bay Blvd
Tampa, FL 33629-6605
Phone (312) 330-8788

National Provider Directory

National Provider Directory

Locations

4231 W Bay To Bay Blvd
Tampa, FL 33629
Phone (813) 600-0618

3030 N Rocky Point Dr W
Ste 161
Tampa, FL 33607

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1073202461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4231 W BAY TO BAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336296605",
            "telephone_number": "312-330-8788",
            "fax_number": "855-835-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4231 W BAY TO BAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336296605",
            "telephone_number": "813-600-0618",
            "fax_number": "855-835-5789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTUS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "SHAYEB",
        "authorized_official_first_name": "OSAMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-330-8788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.