Individual provider Active NPI

Theresa Astrab, DC

  • Chiropractor
  • Palm Harbor, FL
National Provider Identifier
1174677553
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH4262 Issued in FL
Practice address
36133 US Hwy 19N
Palm Harbor, FL 36484-1453
Phone
(727) 784-3131
Fax
(727) 784-3131
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH4262 FL Primary

Addresses

Primary practice location

36133 US Hwy 19N
Palm Harbor, FL 36484-1453

Mailing address

36133 US Hwy 19N
Palm Harbor, FL 36484-1453
Phone (727) 784-3131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH4262FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174677553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36133 US HWY 19N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "364841453",
            "telephone_number": "727-784-3131",
            "fax_number": "727-784-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36133 US HWY 19N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "364841453",
            "telephone_number": "727-784-3131",
            "fax_number": "727-784-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTRAB",
        "first_name": "THERESA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.