Organization Active NPI

Theresa Pham DC PA

  • Chiropractor
  • Clearwater, FL
National Provider Identifier
1669333472
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
THERESA PHAM DC PA
Practice address
2561 Nursery Rd Ste D
Clearwater, FL 33764-1783
Phone
(727) 435-7806
Fax
(727) 354-7209
NPI assigned
Nov 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Dr. Theresa Pham, DCNPI 1588355119
Title
Owner/Chiropractor
Phone
(727) 644-6685

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2561 Nursery Rd Ste D
Clearwater, FL 33764-1783

Mailing address

2561 Nursery Rd Ste D
Clearwater, FL 33764-1783
Phone (727) 435-7806

Other names 1

  • Peace of Mind Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

2561 Nursery Rd
Ste D
Clearwater, FL 33764
Phone (727) 435-7806

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1669333472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2561 NURSERY RD STE D",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337641783",
            "telephone_number": "727-435-7806",
            "fax_number": "727-354-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2561 NURSERY RD STE D",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337641783",
            "telephone_number": "727-435-7806",
            "fax_number": "727-354-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA PHAM DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "727-644-6685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peace of Mind Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.