Michael Mahan, PT, DPT
NPI 1063921476 · Physical Therapist · Boulder, CO
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Mahan, PT, DPT is a Physical Therapist provider in Boulder, CO (NPI 1063921476).
Provider details
- NPI number
- 1063921476
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 2305211550 (VA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Allopathic & Osteopathic Physicians
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-09-28
- Last updated
- 2023-01-31
- Certified
- 2023-01-31
Frequently asked questions
- What is Michael Mahan's NPI number?
- Michael Mahan's National Provider Identifier (NPI) is 1063921476, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Mahan's specialty?
- Michael Mahan is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Michael Mahan located?
- Michael Mahan's practice location on file with NPPES is 3000 Center Green Dr Ste 300, Boulder, CO 80301-2364.
- What is Michael Mahan's phone number?
- The practice phone number listed in the NPPES registry for Michael Mahan is (303) 413-9903.
- Does Michael Mahan accept Medicare?
- Michael Mahan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Mahan's NPI active?
- Yes — Michael Mahan's NPI (1063921476) is active in the NPPES registry as of the last update on 2023-01-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.