Basic Information
Provider Information
NPI: 1770681397
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STRAUSSER
FirstName: TEREZA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: PT, DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7220 W 64TH PL
Address2:  
City: ARVADA
State: CO
PostalCode: 800034414
CountryCode: US
TelephoneNumber: 7206889233
FaxNumber:  
Practice Location
Address1: 8950 E LOWRY BLVD
Address2:  
City: DENVER
State: CO
PostalCode: 802307030
CountryCode: US
TelephoneNumber: 3038694664
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/20/2006
LastUpdateDate: 10/13/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X8990COY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

ID Information
IDTypeStateIssuerDescription
C81084501COMEDICARE PINOTHER


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