Active NPI
Woodruff Chiropractic Clinic
- Physical Medicine & Rehabilitation Physician
- Charleston, SC
National Provider Identifier
1528136108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 17193
- Legal business name
- WOODRUFF CHIROPRACTIC CLINIC
- Doing business as
- Woodruff Wellness Clinic
- Practice address
- 1019 Physician Drive
Charleston, SC 29414 - Phone
- (843) 571-5366
- Fax
- (843) 571-5659
- NPI assigned
- Dec 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie B Woodruff, D.C.
- Title
- Ceo
- Phone
- (843) 571-5366
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Chiropractor | 111N00000X | 2996 | SC | |
| Chiropractor | 111N00000X | 2005 | SC | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 17193 | SC | Primary |
Addresses
Primary practice location
1019 Physician Drive
Charleston, SC 29414
Mailing address
1019 Physician Drive
Charleston, SC 29414
Phone (843) 571-5366
Other names 1
- Woodruff Wellness Clinic
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268006400000",
"number": "1528136108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1019 PHYSICIAN DRIVE",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "29414",
"telephone_number": "843-571-5366",
"fax_number": "843-571-5659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1019 PHYSICIAN DRIVE",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "29414",
"telephone_number": "843-571-5366",
"fax_number": "843-571-5659"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODRUFF CHIROPRACTIC CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-01",
"last_updated": "2010-03-08",
"status": "A",
"authorized_official_last_name": "WOODRUFF",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "843-571-5366",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "SC",
"license": "2996",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "SC",
"license": "2005",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "SC",
"license": "17193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Woodruff Wellness Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.