Creekside Physical Medicine PLLC
NPI 1578601969 · Neuromusculoskeletal Medicine & OMM Physician · Boulder, CO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Creekside Physical Medicine PLLC is a Neuromusculoskeletal Medicine & OMM Physician organization in Boulder, CO (NPI 1578601969).
Provider details
- NPI number
- 1578601969
- Entity type
- Organization
- Primary specialty
- Neuromusculoskeletal Medicine & OMM PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Tanner, Principal Clinician(303) 494-2705
- License
- 38635 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-01
- Last updated
- 2025-08-04
- Certified
- 2025-08-04
Frequently asked questions
- What is Creekside Physical Medicine PLLC's NPI number?
- Creekside Physical Medicine PLLC's National Provider Identifier (NPI) is 1578601969, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Creekside Physical Medicine PLLC?
- Creekside Physical Medicine PLLC is classified in the NPPES registry as Neuromusculoskeletal Medicine & OMM Physician (Allopathic & Osteopathic Physicians).
- Where is Creekside Physical Medicine PLLC located?
- Creekside Physical Medicine PLLC's practice location on file with NPPES is 5387 Manhattan Cir, Boulder, CO 80303-4284.
- What is Creekside Physical Medicine PLLC's phone number?
- The practice phone number listed in the NPPES registry for Creekside Physical Medicine PLLC is (303) 494-2705.
- Does Creekside Physical Medicine PLLC accept Medicare?
- Creekside Physical Medicine PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Creekside Physical Medicine PLLC?
- The authorized official listed on Creekside Physical Medicine PLLC's NPPES record is David Tanner, Principal Clinician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Creekside Physical Medicine PLLC's NPI active?
- Yes — Creekside Physical Medicine PLLC's NPI (1578601969) is active in the NPPES registry as of the last update on 2025-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.