Active NPI
Theresa Ann Stoakes, DC
- Chiropractor
- Palm Harbor, FL
National Provider Identifier
1306333158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12418
- Practice address
- 32976 US Highway 19 N
Palm Harbor, FL 34684-3122 - Phone
- (727) 787-6677
- Fax
- (727) 787-1177
- NPI assigned
- Apr 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH12418 | FL | Primary |
Addresses
Primary practice location
32976 US Highway 19 N
Palm Harbor, FL 34684-3122
Mailing address
4709 Crest Hill Dr
Tampa, FL 33615-4514
Phone (317) 625-4070
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
| License | State | Type | Specialty |
|---|---|---|---|
| CH12418 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wolstein Chiropractic and Sports Injury Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Sports Physician Chiropractor
- Palm Harbor, FL
- NPI 1396158093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523923200000",
"number": "1306333158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4709 CREST HILL DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336154514",
"telephone_number": "317-625-4070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32976 US HIGHWAY 19 N",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346843122",
"telephone_number": "727-787-6677",
"fax_number": "727-787-1177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOAKES",
"first_name": "THERESA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-17",
"last_updated": "2018-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH12418",
"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 Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.