KEVIN PATRICK MAHON PT DPT CSCS NPI 1043220148

NPI Information

  • NPI: 1043220148
  • Provider Name: KEVIN PATRICK MAHON, PT, DPT, CSCS
  • Classification: Physical Therapist - 2251X0800X
  • Specialization: Orthopedic
  • Entity Type: Individual
  • Address: 4896 S BRIGHT ANGEL TRL
    FLAGSTAFF, AZ
    ZIP 86005
  • Phone: (928) 380-1911

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NPI Details

Kevin Patrick Mahon, PT, DPT, CSCS is an orthopedic physical therapist in Flagstaff, AZ. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. Kevin Patrick Mahon, PT, DPT, CSCS NPI is 1043220148. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4896 S BRIGHT ANGEL TRL
FLAGSTAFF, AZ
ZIP 86005-369
Phone: (928) 380-1911

The enumeration date for this NPI number is 8/9/2006 and was last updated on 5/2/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225100000XPhysical TherapistNo
22251X0800XPhysical TherapistOrthopedic1629ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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