Individual provider Active NPI

Samuel Schepart

  • Chiropractor
  • Lutz, FL
National Provider Identifier
1528536901
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13211 Issued in FL
Practice address
2029 Osprey LN Ste B
Lutz, FL 33549-9361
Phone
(813) 254-2500
NPI assigned
Nov 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR010129 GA
Chiropractor 111N00000X CH13211 FL Primary

Addresses

Primary practice location

2029 Osprey LN Ste B
Lutz, FL 33549-9361

Mailing address

2029 Osprey LN Ste B
Lutz, FL 33549-9361
Phone (813) 254-2500

Other practice location 1

6348 Tara Blvd
Jonesboro, GA 30236-1224
Phone (770) 629-1225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191104001628 PA Practitioner - Chiropractic 3173855590 Reassigns benefits to 1 organization
I20210429002136 FL Practitioner - Chiropractic 3173855590 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2029 Osprey LN
Suite B
Lutz, FL 33549-9361
Phone (813) 254-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH13211FLMDChiropractor
CHIR010129GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lyceum Longevity Center PLLC Chiropractor CurrentSince Sep 24, 2019 Accepting new patients
Health in Motion Chiropractic and Rehabilitation, LLC Chiropractor CurrentSince Sep 10, 2023 Accepting new patients
Suncoast Healthcare Professionals PLLC CurrentSince Mar 1, 2021 Accepting new patients

Locations

2029 Osprey Ln
Ste B
Lutz, FL 33549
Phone (813) 254-2500

431 E Hollywood Blvd
Mary Esther, FL 32569
Phone (850) 864-5300

6062 Ridge Ave
Philadelphia, PA 19128
Phone (215) 508-5555

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1528536901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 OSPREY LN STE B",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335499361",
            "telephone_number": "813-254-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 OSPREY LN STE B",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335499361",
            "telephone_number": "813-254-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6348 Tara Blvd",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "GA",
            "postal_code": "302361224",
            "country_code": "US",
            "telephone_number": "770-629-1225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHEPART",
        "first_name": "SAMUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-05",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010129",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.