Provider Type Icon

MR. TERRY J SUPAN CPO NPI 1366461410


NPI Information

NPI: 1366461410
Provider Name: MR. TERRY J SUPAN, CPO
Classification: Orthotist - 222Z00000X
Entity Type: Individual
Address:
355 W CARPENTER STREET
SUITE B
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 789-1450
Get Directions

MR. Terry J Supan, CPO is an orthotist in Springfield, IL. The provider is a health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. MR. Terry J Supan, CPO NPI is 1366461410. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

355 W CARPENTER STREET
SUITE B
SPRINGFIELD, IL
ZIP 62702-945
Phone: (217) 789-1450
Fax: (217) 789-1454

The enumeration date for this NPI number is 7/19/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1222Z00000XOrthotistILLINOISYes
2224P00000XProsthetistILLINOISX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.