CREEKSIDE PHYSICAL MEDICINE PLLC
NPI 1578601969
Neuromusculoskeletal Medicine & OMM in Boulder, CO
NPI Status: Active since February 01, 2007
Contact Information
5387 MANHATTAN CIR
STE 201
BOULDER, CO
ZIP 80303
Phone: (303) 494-2705
Fax: (303) 494-2706
- Organization
- Neuromusculoskeletal Medicine & OMM
About CREEKSIDE PHYSICAL MEDICINE PLLC
This page provides the complete NPI Profile along with additional information for Creekside Physical Medicine Pllc, a provider established in Boulder, Colorado operating as a Neuromusculoskeletal Medicine & Omm. The healthcare provider is registered in the NPI registry with number 1578601969 assigned on February 2007. The practitioner's primary taxonomy code is 204D00000X with license number 38635 (CO). The provider is registered as an organization and their NPI record was last updated one year ago. Creekside Physical Medicine Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is David E Tanner D.o (Principal Clinician)
- NPI
- 1578601969
- Provider Name
- CREEKSIDE PHYSICAL MEDICINE PLLC
- Entity Type
- Organization
- Location Address
- 5387 MANHATTAN CIR STE 201 BOULDER, CO 80303
- Location Phone
- (303) 494-2705
- Location Fax
- (303) 494-2706
- Mailing Address
- 5387 MANHATTAN CIR STE 201 BOULDER, CO 80303
- Mailing Phone
- (303) 494-2705
- Mailing Fax
- (303) 494-2706
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-01-2007
- Last Update Date
- 08-04-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Neuromusculoskeletal Medicine & OMM
- Taxonomy Code
- 204D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 38635
- License State
- CO
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1578601969, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
BOULDER, CO 80303
BOULDER, CO 80303
BOULDER, CO 80303
BOULDER, CO 80303
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578601969, enumerated as an "organization" on February 01, 2007.
The provider is located at 5387 MANHATTAN CIR STE 201 BOULDER, CO 80303 and the phone number is (303) 494-2705.
Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.
