Individual provider Active NPI

Theresa Lobbestael, DC

  • Chiropractor
  • Fort Mill, SC
National Provider Identifier
1003235854
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3905 Issued in SC
Practice address
985 Market St Ste 201
Fort Mill, SC 29708-6533
Phone
(803) 547-9800
Fax
(803) 547-9804
NPI assigned
Apr 9, 2014
Last updated
Apr 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC3905 SC
Chiropractor 111N00000X 3905 SC Primary

Addresses

Primary practice location

985 Market St Ste 201
Fort Mill, SC 29708-6533

Mailing address

985 Market St Ste 201
Fort Mill, SC 29708-6533
Phone (803) 547-9800

Other names 1

  • Theresa Torres Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140723001160 SC Practitioner - Chiropractic 5698991933 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC3905SCMDChiropractor
3905SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Sports Clinic-Fort Mill,LLC Chiropractor CurrentSince Sep 1, 2015 Accepting new patients
Fort Mill Spine and Sports Rehab, LLC Chiropractor CurrentSince May 11, 2025 Accepting new patients
His Hands Wellness Ministry Current Accepting new patients

Locations

1096 Assembly Dr
Ste 310
Fort Mill, SC 29708
Phone (803) 547-9800

985 Market St
Ste 201
Fort Mill, SC 29708
Phone (803) 547-9800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1003235854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 MARKET ST STE 201",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086533",
            "telephone_number": "803-547-9800",
            "fax_number": "803-547-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 MARKET ST STE 201",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086533",
            "telephone_number": "803-547-9800",
            "fax_number": "803-547-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBBESTAEL",
        "first_name": "THERESA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "DC3905",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "TORRES",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.