CREEKSIDE PHYSICAL MEDICINE PLLC
NPI 1578601969
Neuromusculoskeletal Medicine & OMM in Boulder, CO

Q: What is Creekside Physical Medicine PLLC's NPI number?

The NPI number for Creekside Physical Medicine PLLC is 1578601969. It was assigned to this organization in the NPPES registry on February 1, 2007.

Q: What is Creekside Physical Medicine PLLC's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Active since February 01, 2007

5387 MANHATTAN CIR, STE 201, BOULDER, CO 80303(303) 494-2705(303) 494-2706 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Creekside Physical Medicine Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CREEKSIDE PHYSICAL MEDICINE PLLC (NPI 1578601969) is a healthcare organization registered as a neuromusculoskeletal medicine & omm in Boulder, Colorado and active in the NPI registry since February 2007. The organization lists David E Tanner, Principal Clinician, as its authorized official.

NPPES Registry Identity

NPI1578601969

Entity TypeOrganization

Primary Taxonomy204D00000X

Legal Business NameCREEKSIDE PHYSICAL MEDICINE PLLC

Location Address5387 MANHATTAN CIR, STE 201Boulder, CO 80303-4284

Mailing Address5387 Manhattan Cir, Ste 201Boulder, CO 80303-4284 · (303) 494-2705 · Fax (303) 494-2706

Phone(303) 494-2705

Fax(303) 494-2706

Organization SubpartNo

Authorized OfficialDavid E TannerPrincipal Clinician · (303) 494-2705

Enumeration DateFebruary 1, 2007

Last NPPES UpdateAugust 4, 2025

NPPES CertifiedAugust 4, 2025

✔ NPI 1578601969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians

Taxonomy Code204D00000X

License✔ Licensed in CO · 38635

Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

5387 MANHATTAN CIR, Boulder, CO 80303

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN TOBEY MD

Physical Medicine & Rehabilitation

5387 MANHATTAN CIR, SUITE 200
BOULDER, CO 80303

Boulder County (303) 494-7773

JEFFREY W RYG PT, DPT

Physical Therapist (Orthopedic)

5387 MANHATTAN CIR, SUITE 100A
BOULDER, CO 80303

Boulder County (303) 543-7878

DAVID ERIC TANNER DO

Neuromusculoskeletal Medicine & OMM

5387 MANHATTAN CIR, SUITE 201
BOULDER, CO 80303

Boulder County (303) 494-2705

AUDREY M WALDRON P.T.

Physical Therapist

5387 MANHATTAN CIR, SUITE 100A
BOULDER, CO 80303

Boulder County (303) 543-7878

CLIFF GRONSETH MD

Physical Medicine & Rehabilitation

5387 MANHATTAN CIR, SUITE 200
BOULDER, CO 80303

Boulder County (303) 494-7773

BALANCE AND NEUROLOGIC CENTER OF THE ROCKIES LLC

Physical Therapist

5387 MANHATTAN CIR, SUITE 100A
BOULDER, CO 80303

Boulder County (303) 929-2950

MR. IAN MATHEW MORLOCK NP

Nurse Practitioner (Acute Care)

5387 MANHATTAN CIR
BOULDER, CO 80303

Boulder County (303) 494-7773

STEPHANIE CAROLE PASCOE

Physical Therapist (Orthopedic)

5387 MANHATTAN CIR, SUITE 100
BOULDER, CO 80303

Boulder County (303) 543-7676

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Creekside Physical Medicine PLLC's NPI number?

The NPI number for Creekside Physical Medicine PLLC is 1578601969. It was assigned to this organization in the NPPES registry on February 1, 2007.

Where is Creekside Physical Medicine PLLC located?

Creekside Physical Medicine PLLC is located at 5387 Manhattan Cir Ste 201, Boulder, CO 80303. The listed phone number is (303) 494-2705.

What is Creekside Physical Medicine PLLC's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

When was this NPI record last updated?

The NPPES record for Creekside Physical Medicine PLLC was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.