MEDICARE: JAMES PATRICK MCMAHON DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	070023989	IL
2	225100000X	Physical Therapist	11080R	LA
3	225100000X	Physical Therapist	PTL.0020488	CO
4	225100000X	Physical Therapist	60917766	WA
5	225100000X	Physical Therapist	CP017021T	CO

General Provider Information

NPI Number	:	1336622620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES PATRICK MCMAHON DPT

Provider Business Mailing Address
First Line	:	437 S WADSWORTH BLVD UNIT G
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80226-3134
Country	:	US
Telephone Number	:	303-274-7310
Fax Number	:	720-497-6705

Provider Business Practice Location Address
First Line	:	437 S WADSWORTH BLVD UNIT G
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80226-3134
Country	:	US
Telephone Number	:	303-274-7310
Fax Number	:	720-497-6705

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2018
Last Update Date	:	12/04/2025

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