Kevin Tadus

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA.0013628 Issued in CO

Practice address

1450 E Valley Rd Unit 203
Basalt, CO 81621-8352

Phone

(970) 927-9319

NPI assigned

Oct 18, 2017

Last updated

Oct 18, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Roaring Fork Physical Therapy, PC

  • Orthopedic Physical Therapist
  • Basalt, CO
  • NPI 1295866770
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1700397692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 BOB O LINK LN",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 E VALLEY RD UNIT 203",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218352",
            "telephone_number": "970-927-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADUS",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2110911",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "PTA.0013628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steadman Clinic Professional LLC (The Steadman Clinic)
• Karen Chrisholm Stevenson, PHYSICAL THERAPIST
• Carly Ann Stillman, PA-C
• Heidi C Stoeckl, L.AC.
• T J Bauer OD PC (Bauer Eye Care PC)
• Maria Lynn Tafuri, LMFT
• Scott J. Tesoro, D.C.
• David Allen Tetley, RN
• Thomas P. Moore, M.D., PH.D., P.C. (Moore Orthopedics)
• Thrive Aspen LLC (Aspen Thrive)

• Physical Therapy Assistant in Basalt, CO
• Providers in Basalt, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.