Individual provider Active NPI

Theresa Rose Hartley, D.C.

  • Chiropractor
  • Clearwater, FL
National Provider Identifier
1861677155
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9476 Issued in FL
Practice address
13555 Automobile Blvd Ste 630
Clearwater, FL 33762-3839
Phone
(727) 623-0992
Fax
(727) 623-0993
NPI assigned
Jan 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9476 FL Primary

Addresses

Primary practice location

13555 Automobile Blvd Ste 630
Clearwater, FL 33762-3839

Mailing address

13555 Automobile Blvd Ste 630
Clearwater, FL 33762-3839
Phone (727) 623-0992

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
CH9476FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1861677155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13555 AUTOMOBILE BLVD STE 630",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623839",
            "telephone_number": "727-623-0992",
            "fax_number": "727-623-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13555 AUTOMOBILE BLVD STE 630",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623839",
            "telephone_number": "727-623-0992",
            "fax_number": "727-623-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "THERESA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-04",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 3, 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.