Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Kim Tadda

Individual provider Physical Therapist · NPI 1174157564

Mary Kim Tadda is a Physical Therapist in Private Practice in Evergreen, Colorado. Qualified in 2019, 7 years ago. Practices with Arapahoe Peak Physical Therapy, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
7
Licensed in
CO
In the registry since
2020
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Practice location Address checks out

30940 Stagecoach Blvd # 110
Evergreen, CO 80439-7984
Phone: (303) 674-1594
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 16846 (CO)

Record details

NPI number1174157564
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 25, 2020
Last updated in NPPESFebruary 25, 2020
Certification dateFebruary 25, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Arapahoe Peak Physical Therapy, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Evergreen