Healthcare Provider Details

I. General information

NPI: 1760343974
Provider Name (Legal Business Name): MARGARET ABIGAIL LAVINER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2025
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15746 JACKSON CREEK PKWY STE B
MONUMENT CO
80132-7183
US

IV. Provider business mailing address

1200 CORPORATE DR STE 400
HOOVER AL
35242-5424
US

V. Phone/Fax

Practice location:
  • Phone: 719-481-0899
  • Fax: 719-481-0897
Mailing address:
  • Phone: 423-702-4389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number21368
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP24547
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: