Organization Active NPI

Evans Rehab and Pain Management

  • Physical Medicine & Rehabilitation Physician
  • Aurora, CO
National Provider Identifier
1457455735
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
C454688 Issued in CO
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

Updated by the provider on May 7, 2008

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

Authorized official

Name
Dr. Tae KimNPI 1538194808
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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.