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NPI Code Detail

MEDICARE: MEREDITH MASON PT, DPT

MEDICARE: MEREDITH MASON PT, 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
1225100000XPhysical Therapist2305213191VA
2225100000XPhysical TherapistPTL.0018845CO

General Provider Information

NPI Number : 1649810144
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEREDITH MASON PT, DPT
Provider Business Mailing Address
First Line : 9892 TITAN PARK CIR STE 8
Second Line :
City : LITTLETON
State : CO
Zip : 80125-9355
Country : US
Telephone Number : 303-917-6747
Fax Number :
Provider Business Practice Location Address
First Line : 9892 TITAN PARK CIR STE 8
Second Line :
City : LITTLETON
State : CO
Zip : 80125-9355
Country : US
Telephone Number : 303-917-6747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2020
Last Update Date : 08/26/2025

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