Provider Demographics
NPI:1477126183
Name:MANN METHOD PHYSICAL THERAPY AND FITNESS, PLLC
Entity Type:Organization
Organization Name:MANN METHOD PHYSICAL THERAPY AND FITNESS, PLLC
Other - Org Name:MANN METHOD PT AND FITNESS PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:RE
Authorized Official - Last Name:MANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-709-6381
Mailing Address - Street 1:20074 W 94TH LN
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80007-7718
Mailing Address - Country:US
Mailing Address - Phone:720-524-4659
Mailing Address - Fax:303-256-0572
Practice Address - Street 1:13825 W 85TH DR STE 200
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-1328
Practice Address - Country:US
Practice Address - Phone:720-524-4659
Practice Address - Fax:303-256-0572
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MANN METHOD PHYSICAL THERAPY AND FITNESS, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-20
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic FitterGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO20216000919OtherDME SUPPLIER