Healthcare Provider Details

I. General information

NPI: 1124638473
Provider Name (Legal Business Name): JUSTIN DANIEL HAHN DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2020
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 GOLDEN RIDGE RD STE 130
GOLDEN CO
80401-9541
US

IV. Provider business mailing address

660 GOLDEN RIDGE RD STE 130
GOLDEN CO
80401-9541
US

V. Phone/Fax

Practice location:
  • Phone: 720-497-6616
  • Fax: 720-497-6767
Mailing address:
  • Phone: 720-497-6616
  • Fax: 720-497-6767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT37917
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number19750
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: