Active NPI
Thomas William Vavrek, D.O., M.S.
- Physical Medicine & Rehabilitation Physician
- Aurora, CO
National Provider Identifier
1245440510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 46362
- Practice address
- 1390 S Potomac St
Suite 100
Aurora, CO 80012-6165 - Phone
- (303) 341-7894
- Fax
- (720) 859-7780
- NPI assigned
- May 23, 2007
- Last updated
- Dec 9, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 46362 | CO | Primary |
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 46362 | CO | |
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 510105436 | MI | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 510105436 | MI |
Addresses
Primary practice location
1390 S Potomac St
Suite 100
Aurora, CO 80012-6165
Mailing address
1390 S Potomac St
Suite 128
Aurora, CO 80012-6165
Phone (303) 341-7894
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46362 | CO | MD | Neuromusculoskeletal Medicine & OMM Physician |
| 510105436 | MI | MD | Neuromusculoskeletal Medicine & OMM Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418083200000",
"number": "1245440510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1390 S POTOMAC ST",
"address_2": "SUITE 128",
"city": "AURORA",
"state": "CO",
"postal_code": "800126165",
"telephone_number": "303-341-7894",
"fax_number": "720-859-7780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1390 S POTOMAC ST",
"address_2": "SUITE 100",
"city": "AURORA",
"state": "CO",
"postal_code": "800126165",
"telephone_number": "303-341-7894",
"fax_number": "720-859-7780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAVREK",
"first_name": "THOMAS",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.O., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2014-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CO",
"license": "46362",
"primary": true
},
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "CO",
"license": "46362",
"primary": false
},
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "MI",
"license": "510105436",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MI",
"license": "510105436",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.