Individual provider Active NPI

Andrea Lyn Terry, DPT

  • Physical Therapist
  • Westminster, CO
National Provider Identifier
1447408786
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0010082 Issued in CO
Practice address
7233 Church Ranch Blvd
Westminster, CO 80021-4094
Phone
(303) 925-4137
Fax
(303) 925-4143
NPI assigned
Aug 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0010082 CO Primary

Addresses

Primary practice location

7233 Church Ranch Blvd
Westminster, CO 80021-4094

Mailing address

7233 Church Ranch Blvd
Westminster, CO 80021-4094
Phone (303) 925-4137

Other practice location 1

9351 Grant St
#430
Thornton, CO 80229
Phone (303) 280-1211

Other practice location 2

1380 Tulip St
Longmont, CO 80501-3157
Phone (303) 485-4163

Other identifiers 1

IdentifierTypeStateIssuer
9000212959MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170925002258 CO Practitioner - Physical Therapist in Private Practice 1254605587 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Legacy Healthcare Services Inc. Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Centura Ventures, LLC Physical Therapist Current Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

4112 Outlook Blvd
Ste 96
Pueblo, CO 81008
Phone (719) 562-6200

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1447408786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7233 CHURCH RANCH BLVD",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800214094",
            "telephone_number": "303-925-4137",
            "fax_number": "303-925-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7233 CHURCH RANCH BLVD",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800214094",
            "telephone_number": "303-925-4137",
            "fax_number": "303-925-4143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9351 Grant St",
            "address_2": "#430",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "80229",
            "country_code": "US",
            "telephone_number": "303-280-1211",
            "fax_number": "303-280-2232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1380 Tulip St",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805013157",
            "country_code": "US",
            "telephone_number": "303-485-4163",
            "fax_number": "303-485-4164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRY",
        "first_name": "ANDREA",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0010082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000212959",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.