Individual provider · Type 1 NPI
Terry J. Supan, CPO
Orthotist · Springfield, IL
Practice location
355 W Carpenter Street, Suite B
Springfield, IL 62702-4945
Fax (217) 789-1454
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthotist Primary | 222Z00000X | None listed |
| Prosthetist | 224P00000X | None listed |
Orthotist: 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 th…
Another provider at this address
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About NPI 1366461410
Terry J. Supan, CPO's National Provider Identifier is 1366461410, issued on Jul 19, 2006. The primary taxonomy on file is Orthotist (222Z00000X), and the practice location is in Springfield, IL. The record was last updated on Sep 11, 2025.