Organization Active NPI

Altus Medical Group

  • Chiropractor
  • Jupiter, FL
National Provider Identifier
1316659998
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ALTUS MEDICAL GROUP
Practice address
3535 Military TRL Ste 200
Jupiter, FL 33458-5009
Phone
(561) 270-1897
NPI assigned
Dec 15, 2022
Last updated
Dec 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Authorized official

Name
Jonn McClellanNPI 1629209523
Title
Owner
Phone
(561) 270-1897

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

3535 Military TRL Ste 200
Jupiter, FL 33458-5009

Mailing address

3535 Military TRL Ste 200
Jupiter, FL 33458-5009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230424002699 FL Part B Supplier - Clinic/Group Practice 0547625618 Receives reassigned benefits from 2 practitioners
Practice locations: Jupiter, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1316659998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 MILITARY TRL STE 200",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 MILITARY TRL STE 200",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585009",
            "telephone_number": "561-270-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTUS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "MCCLELLAN",
        "authorized_official_first_name": "JONN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-270-1897"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.