Active NPI
Theresa Bijeau
- Chiropractor
- Woodruff, SC
National Provider Identifier
1497315360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2237
- Practice address
- 106 S Main St
Woodruff, SC 29388-1850 - Phone
- (864) 476-5665
- NPI assigned
- Jun 13, 2019
- Last updated
- Jun 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2237 | SC | Primary |
Addresses
Primary practice location
106 S Main St
Woodruff, SC 29388-1850
Mailing address
106 S Main St
Woodruff, SC 29388-1850
Phone (864) 476-5665
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2237 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560384000000",
"number": "1497315360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 S MAIN ST",
"city": "WOODRUFF",
"state": "SC",
"postal_code": "293881850",
"telephone_number": "864-476-5665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 S MAIN ST",
"city": "WOODRUFF",
"state": "SC",
"postal_code": "293881850",
"telephone_number": "864-476-5665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIJEAU",
"first_name": "THERESA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-13",
"last_updated": "2019-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "2237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodruff, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.