The Neuro Pain Reset Institute LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

THE NEURO PAIN RESET INSTITUTE LLC

Practice address

1700 N McMullen Booth Rd Ste B4
Clearwater, FL 33759-2100

Phone

(727) 953-7762

NPI assigned

Sep 1, 2026

Organization subpart

No

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

Authorized official

Name

Philip Hansen, MD

Title

Member

Phone

(727) 953-7762

Specialties & licenses 1

Addresses

Other names 1

• Tampa Ketamine Infusions Doing business as

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1952219784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N MCMULLEN BOOTH RD STE B4",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337592100",
            "fax_number": "727-953-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N MCMULLEN BOOTH RD STE B4",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337592100",
            "telephone_number": "727-953-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEURO PAIN RESET INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "727-953-7762",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tampa Ketamine Infusions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pain Medicine (Anesthesiology) Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.