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MR. TERRY J SUPAN CPO
NPI 1366461410
Orthotist in Springfield, IL

Active since July 19, 2006
355 W CARPENTER STREET, SUITE B, SPRINGFIELD, IL 62702(217) 789-1450(217) 789-1454 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Terry J Supan Cpo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TERRY J SUPAN CPO (NPI 1366461410) is an individual orthotist provider in Springfield, Illinois and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1366461410
Entity TypeIndividualMale
Primary Taxonomy222Z00000X
Provider Legal NameMR. TERRY J SUPANCredential: CPO
Location Address355 W CARPENTER STREET, SUITE BSpringfield, IL 62702-4945
Mailing Address355 W Carpenter Street, Suite BSpringfield, IL 62702-4945 · (217) 789-1450 · Fax (217) 789-1454
Phone(217) 789-1450
Fax(217) 789-1454
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1366461410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Z00000X
Definition
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.
Also ListedProsthetistTaxonomy 224P00000X
355 W CARPENTER STREET, Springfield, IL 62702
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DARYL G BARTH CPO
Orthotist
355 W CARPENTER STREET, SUITE B
SPRINGFIELD, IL 62702
Sangamon County (217) 789-1450

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Terry Supan's NPI number?

The NPI number for Terry Supan is 1366461410. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Terry Supan located?

Terry Supan practices at 355 W Carpenter Street Suite B, Springfield, IL 62702. The listed phone number is (217) 789-1450.

What is Terry Supan's specialty?

The primary specialty registered for this NPI is Orthotist with taxonomy code 222Z00000X.

When was this NPI record last updated?

The NPPES record for Terry Supan was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.