Provider Demographics
NPI:1649810144
Name:MASON, MEREDITH (PT, DPT)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:MASON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9892 TITAN PARK CIR STE 8
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80125-9355
Mailing Address - Country:US
Mailing Address - Phone:303-917-6747
Mailing Address - Fax:
Practice Address - Street 1:13095 W CEDAR DR APT 107
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1960
Practice Address - Country:US
Practice Address - Phone:478-542-1628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-13
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305213191225100000X
COPTL.0018845225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist