Individual provider

Michael Mahan, PT, DPT

Physical Therapist Physical Medicine & Rehabilitation Physician Medicare enrolled

Michael Mahan, PT, DPT is a Physical Therapist in Boulder, CO, registered under NPI 1063921476. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 3000 CENTER GREEN DR STE 300, Boulder, CO 80301. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3000 CENTER GREEN DR STE 300, Boulder, CO 80301 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
PTL.0018839 CO Physical Therapist primary
2305211550 VA Physical Medicine & Rehabilitation…

Licences are recorded in 2 states: CO, VA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physical Therapist In Private Practice
PAC ID
8527325323

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
Oregon I20200519001083 Practitioner - Physical Therapist In Private Practice
Colorado I20230414001803 Practitioner - Physical Therapist In Private Practice

Medicare enrolment is recorded as approved under the provider type Practitioner - Physical Therapist In Private Practice. There are 2 separate enrolment records across 2 states (OR, CO). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Colorado and Virginia. The practice address on file is in Boulder, CO, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CO Colorado practice address
Licence
PTL.0018839
Specialty
Physical Therapist
Verify with the CO board →
VA Virginia
Licence
2305211550
Specialty
Physical Medicine & Rehabilitation…
Verify with the VA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Physical Therapist covers

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices. NUCC Health Care Provider Taxonomy, code 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
225100000X Physical Therapist PTL.0018839 CO primary
208100000X Physical Medicine & Rehabilitation Physician 2305211550 VA
225100000X Physical Therapist OR

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1063921476 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 28, 2017
Last updatedJan 31, 2023
StatusActive
Sole proprietorNo
CredentialPT, DPT
Practice address 3000 CENTER GREEN DR STE 300
Boulder, CO 80301
(303) 413-9903
Fax (303) 413-9907
Mailing address PO BOX 5718
Kalispell, MT 59903
The last update on file is Jan 31, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1063921476 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 9 2 1 4 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 9 2 2 4 5

Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063921476?
NPI 1063921476 is the National Provider Identifier assigned to Michael Mahan, PT, DPT in Boulder, CO. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Physical Therapist cover?
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each…
How do I contact Michael Mahan, PT, DPT?
The phone number on file with NPPES is (303) 413-9903, last updated Jan 31, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Michael Mahan, PT, DPT accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1063921476 a valid number?
Yes. 1063921476 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.