Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Craig Mahan, PT, DPT

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1063921476

Michael Craig Mahan, PT, DPT is a Physical Medicine & Rehabilitation Physician in Boulder, Colorado. Licensed in Colorado, Oregon and Virginia. Registered with an NPI since 2017.

Licensed in
CO, OR, VA
In the registry since
2017
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3000 Center Green Dr Ste 300
Boulder, CO 80301-2364
Phone: (303) 413-9903
Fax: (303) 413-9907
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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 PTL.0018839 (CO)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 2305211550 (VA)
Physical Therapist Taxonomy 225100000X (OR)

Record details

NPI number1063921476
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedSeptember 28, 2017
Last updated in NPPESJanuary 31, 2023
Certification dateJanuary 31, 2023

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