Healthcare Provider Details

I. General information

NPI: 1689021339
Provider Name (Legal Business Name): MATTHEW MARRINGTON D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2016
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 W 104TH AVE
WESTMINSTER CO
80020-4189
US

IV. Provider business mailing address

4800 HAPPY CANYON RD STE 220
DENVER CO
80237-1074
US

V. Phone/Fax

Practice location:
  • Phone: 720-653-3440
  • Fax:
Mailing address:
  • Phone: 720-593-6523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberDR.0063713
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: