CREEKSIDE PHYSICAL MEDICINE PLLC – NPI #1972101202
Neuromusculoskeletal Medicine & OMM

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.

Health Care Provider Taxonomy Code for Neuromusculoskeletal Medicine & OMM

CREEKSIDE PHYSICAL MEDICINE PLLC is a provider located in LONGMONT, CO. NPPES has assigned the NPI number 1972101202 to CREEKSIDE PHYSICAL MEDICINE PLLC on October 09, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 204D00000X from the Health Care Provider Taxonomy code set, which is classified as Neuromusculoskeletal Medicine & OMM.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CREEKSIDE PHYSICAL MEDICINE PLLC below.

NPI Profile for
CREEKSIDE PHYSICAL MEDICINE PLLC

NPI Number
1972101202
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CREEKSIDE PHYSICAL MEDICINE PLLC
Primary location
600 S AIRPORT RD UNIT CD
LONGMONT, CO 80503-6475
Phone: (303) 494-2705 Fax:
Mailing address
5387 MANHATTAN CIR STE 201
BOULDER, CO 80303-4283
Phone: (303) 494-2705 Fax:
Organization Subpart
Yes - CREEKSIDE PHYSICAL MEDICINE PLLC is subpart of another organization.
Authorized Official
LOUISE THOMAS
PRACTICE MANAGER
Phone: (303) 489-2264
Updated
Certification Date
Oct 09, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204D00000X
- Neuromusculoskeletal Medicine & OMM (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.