Kevin Patrick Mahon, PT, DPT, CSCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

1629 Issued in AZ

Practice address

4896 S Bright Angel TRL
Flagstaff, AZ 86005-8369

Phone

(928) 380-1911

NPI assigned

Aug 9, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1043220148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4896 S BRIGHT ANGEL TRL",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860058369",
            "telephone_number": "928-380-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4896 S BRIGHT ANGEL TRL",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860058369",
            "telephone_number": "928-380-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHON",
        "first_name": "KEVIN",
        "middle_name": "PATRICK",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "1629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Magee, DMD
• Aisha Magoon, RBT
• Robert L Mahanti, M.D.
• Francis Xavier Maher III, M.D.
• Kristin Mahler
• Peggy Mary Mahon, P.T, D.P.T.
• Eamonn M Mahoney, M.D.
• Katherine Ann Mahosky, M.S. CCC-SLP
• Joshua Makela, PA-C
• Emily Mammenga, MD

• Orthopedic Physical Therapist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Orthopedic Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.