Terry Struck MD PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

27509 Issued in CO

Legal business name

TERRY STRUCK MD PC

Practice address

1633 Medical Center PT
Suite 123
Colorado Springs, CO 80907-5700

Phone

(719) 577-9090

Fax

(719) 577-4549

NPI assigned

Oct 19, 2007

Last updated

Oct 24, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Teresa (Terry) Struck, MDNPI 1346228582

Title

Owner

Phone

(719) 577-9090

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Teresa (Terry) Struck, MD

  • Physical Medicine & Rehabilitation Physician
  • Colorado Springs, CO
  • NPI 1346228582
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1134318777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 MEDICAL CENTER PT",
            "address_2": "SUITE 123",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075700",
            "telephone_number": "719-577-9090",
            "fax_number": "719-577-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 MEDICAL CENTER PT",
            "address_2": "SUITE 123",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075700",
            "telephone_number": "719-577-9090",
            "fax_number": "719-577-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY STRUCK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "STRUCK",
        "authorized_official_first_name": "TERESA (TERRY)",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-577-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "27509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38108747",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terri L Steddum OD LLC
• Brian Terrien, MD
• Angelica M Terrones, RBT
• Grace Terrones, STUDENT
• Laura Terrones
• Luca Terry
• Miranda Terry, LMT, CNMT
• Regina Marie Terry, BA
• Timothy Terry
• Michael David Terveen, DDS

• Physical Medicine & Rehabilitation Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Medicine & Rehabilitation Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.