Healthcare Provider Details

I. General information

NPI: 1992631949
Provider Name (Legal Business Name): BRIAN A MCMAHON PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6870 W 52ND AVE STE 108
ARVADA CO
80002-3952
US

IV. Provider business mailing address

PO BOX 5718
KALISPELL MT
59903-5718
US

V. Phone/Fax

Practice location:
  • Phone: 720-583-6480
  • Fax: 720-726-4773
Mailing address:
  • Phone: 720-583-6480
  • Fax: 720-726-4773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL.0021370
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: