Spiros T Theodore, D.C. PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S02045 Issued in MD

Practice address

12105 Darnestown Rd Ste L-89
Gaithersburg, MD 20878-2217

Phone

(301) 869-0006

Fax

(301) 869-0201

NPI assigned

Jun 30, 2005

Last updated

Jan 18, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Spiros T Theodore DC PC

  dba Potomac Valley Chiropractic

  • Rehabilitation Chiropractor
  • Gaithersburg, MD
  • NPI 1740490242

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768694400000",
    "number": "1457358855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12105 DARNESTOWN RD",
            "address_2": "SUITE L-8",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782217",
            "telephone_number": "301-869-0006",
            "fax_number": "301-869-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12105 DARNESTOWN RD STE L-89",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782217",
            "telephone_number": "301-869-0006",
            "fax_number": "301-869-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEODORE",
        "first_name": "SPIROS",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.C. PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2026-01-18",
        "certification_date": "2026-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S02045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF DC",
            "identifier": "S-860-0001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "349882",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MD",
            "identifier": "KCS6PO",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Freedom Center, LLC
• The Freedom Center, LLC/ Group
• The Healing Therapists, LLC
• Ryan M Thelin, PHARMD
• Joann Theodore, RD
• Thien Long, LLC
• Jennifer Lynn Thoman, MS, CCC-SLP
• Thomas W. Glass DDS, PA
• Thomas Yoon DMD PC (New Look Dental Care)
• Sacari Thomas-Mohamed, M.D.

• Chiropractor in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2026; 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.