Individual provider Active NPI

Thomas William Vavrek, D.O., M.S.

  • Physical Medicine & Rehabilitation Physician
  • Aurora, CO
National Provider Identifier
1245440510
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
46362 Issued in CO
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, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
46362COMDNeuromusculoskeletal Medicine & OMM Physician
510105436MIMDNeuromusculoskeletal 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.

Verify at the official NPI Registry.