Organization Active NPI

East Tao Corporation

  • Physical Medicine & Rehabilitation Physician
  • Santa Fe, NM
National Provider Identifier
1699883025
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD2005-0461 Issued in NM
Legal business name
EAST TAO CORPORATION
Practice address
2801 Rodeo Rd
Suite F
Santa Fe, NM 87507-6503
Phone
(505) 438-7178
Fax
(505) 438-1056
NPI assigned
Aug 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Kezhuang Zhao, D.O.M.
Title
President
Phone
(505) 438-7178

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 0662625 NM
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X MD2005-0461 NM Primary

Addresses

Primary practice location

2801 Rodeo Rd
Suite F
Santa Fe, NM 87507-6503

Mailing address

2801 Rodeo Rd
Suite F
Santa Fe, NM 87507-6503
Phone (505) 438-7178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061026000501 NM Part B Supplier - Clinic/Group Practice 2365449725 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Fe, NM

National Provider Directory

National Provider Directory

Locations

2801 Rodeo Rd
Ste F
Santa Fe, NM 87507
Phone (505) 438-7178

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": "1156636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1699883025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 RODEO RD",
            "address_2": "SUITE F",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875076503",
            "telephone_number": "505-438-7178",
            "fax_number": "505-438-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 RODEO RD",
            "address_2": "SUITE F",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875076503",
            "telephone_number": "505-438-7178",
            "fax_number": "505-438-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TAO CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ZHAO",
        "authorized_official_first_name": "KEZHUANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-438-7178",
        "authorized_official_credential": "D.O.M."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "0662625",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NM",
            "license": "MD2005-0461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.