Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Theresa R Gribbin, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1780645168

Theresa R Gribbin, PHYSICIANASSISTANT is a Physician Assistant in Palm Harbor, Florida. Qualified in 2004, 22 years ago. Practices with Omni Pain Care, LLC, a 4-clinician group. Licensed in Florida.

Years since qualifying
22
Licensed in
FL
In the registry since
2006
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Practice location Address checks out

31581 US Highway 19 N
Palm Harbor, FL 34684-3724
Phone: (727) 772-0819
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9102943 (FL)

Record details

NPI number1780645168
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedMarch 28, 2006
Last updated in NPPESJune 19, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Omni Pain Care, Llc — 4 clinicians
Accepts Medicare assignment Not indicated

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