Active NPI
Evans Rehab and Pain Management
- Physical Medicine & Rehabilitation Physician
- Aurora, CO
National Provider Identifier
1457455735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- C454688
- Legal business name
- EVANS REHAB AND PAIN MANAGEMENT
- Practice address
- 2600 S Parker Rd
Suite 3-135
Aurora, CO 80014-1601 - Phone
- (303) 283-0130
- NPI assigned
- Sep 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tae Kim
- Title
- President
- Phone
- (303) 283-0130
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | C454688 | CO | Primary |
Addresses
Primary practice location
2600 S Parker Rd
Suite 3-135
Aurora, CO 80014-1601
Mailing address
2600 S Parker Rd
Suite 3-135
Aurora, CO 80014-1601
National Provider Directory
National Provider DirectoryLocations
11275 E Mississippi Ave
Ste 2E1
Aurora, CO 80012
Phone (303) 360-8688
405 N Union Blvd
Unit B
Colorado Springs, CO 80909
Phone (719) 667-1515
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Norcross, GA
- NPI 1538194808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210118400000",
"number": "1457455735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 S PARKER RD",
"address_2": "SUITE 3-135",
"city": "AURORA",
"state": "CO",
"postal_code": "800141601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 S PARKER RD",
"address_2": "SUITE 3-135",
"city": "AURORA",
"state": "CO",
"postal_code": "800141601",
"telephone_number": "303-283-0130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVANS REHAB AND PAIN MANAGEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-08",
"last_updated": "2008-05-07",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "TAE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "303-283-0130",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "CO",
"license": "C454688",
"primary": true
}
],
"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 May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.