CREEKSIDE PHYSICAL MEDICINE PLLC (NPI# 1972101202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972101202 |
| Entity Type | Organization |
| Organization Name | CREEKSIDE PHYSICAL MEDICINE PLLC |
| Practice Address |
600 S Airport Rd Unit Cd Longmont CO 80503-6475 |
| Mailing Address |
5387 Manhattan Cir Ste 201 Boulder CO 80303-4283 |
| Practice Telephone | 3034942705 |
| Mailing Telephone | 3034942705 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Authorized Official Name | LOUISE THOMAS (PRACTICE MANAGER) |
| Authorized Official Telephone | 3034892264 |
| Is Organization Subpart | Y |
| Parent Organization Name | CREEKSIDE PHYSICAL MEDICINE PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578601969 | Creekside Physical Medicine Pllc | Neuromusculoskeletal Medicine & OMM | 5387 Manhattan Cir, Ste 201, Boulder, CO 80303-4284 | 2007-02-01 |
| Street Address |
600 S AIRPORT RD UNIT CD |
| City | LONGMONT |
| State | CO |
| Zip Code | 80503-6475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073145025 | Home Care Colorado, LLC | In Home Supportive Care | 2919 17th Ave., Suite 215, Longmont, CO 80503 | 2020-02-07 |
| 1639644016 | Katherine and Charles Hover Greenhouses Inc | Skilled Nursing Facility | 1425 Belmont Dr, Longmont, CO 80503 | 2018-10-11 |
| 1467981993 | Donna Faye Georje Mchaney | Nurse Practitioner | 903 Reynolds Farm Lane, Longmont, CO 80503 | 2017-06-08 |
| 1972030161 | Advanced Vision Surgery Center LLC | Clinic/Center | 1390 Dry Creek Drive, Longmont, CO 80503 | 2017-05-18 |
| 1063958338 | Longmont Tc, LLC | Skilled Nursing Facility | 1960 South Fordham St, Longmont, CO 80503 | 2017-01-11 |
| 1710340211 | Rachel A Schreiber | Optometrist | 8900 Prairie Knoll Dr, Longmont, CO 80503 | 2016-04-01 |
| 1427368299 | Sally Anne Thompson | Specialist | 3664 Oakwood Drive, Longmont, CO 80503 | 2010-10-14 |
| 1124357082 | Penny Trevithick | Specialist | 8380 Hygiene Rd, Longmont, CO 80503 | 2009-12-23 |
| 1104155381 | Adrienne R. Leeds | Midwife | 1736 Clover Creek Dr, Longmont, CO 80503 | 2009-12-16 |
| 1003142928 | Sarah Jean Dubbe | Massage Therapist | 1690 Brown Court, Longmont, CO 80503 | 2009-10-28 |
| Find all providers in zip 80503 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | 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. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497208904 | Jarvis Ryals | Neuromusculoskeletal Medicine & OMM | 84 Ironweed Dr, Pueblo, CO 81001-1048 | 2016-08-01 |
| 1457737819 | Acupuncture Physicians of Colorado | Neuromusculoskeletal Medicine & OMM | 9101 Harlan St # 350, Westminster, CO 80031-2924 | 2015-08-07 |
| 1548417157 | Erin Murphy Woessner | Neuromusculoskeletal Medicine & OMM | 5976 Flora Way, Arvada, CO 80004-3757 | 2008-08-26 |
| 1467613158 | Adam Lee Kilkenney | Neuromusculoskeletal Medicine & OMM | 5625 N Academy Blvd Ste 1800, Colorado Springs, CO 80918-3658 | 2008-06-24 |
| 1063609535 | Marshall Jeffrey Handleman | Neuromusculoskeletal Medicine & OMM | 205 Rutgers Pl, Woodland Park, CO 80863-8824 | 2007-09-28 |
| 1366633851 | Daniel Lopez | Neuromusculoskeletal Medicine & OMM | 9600 W Jewell Ave, Lakewood, CO 80232 | 2007-08-08 |
| 1649481433 | Michael A Landrum | Neuromusculoskeletal Medicine & OMM | 0105 Edwards Village Blvd A203, Edwards, CO 81632-2637 | 2007-05-24 |
| 1760694525 | Alex G Reish | Neuromusculoskeletal Medicine & OMM | 5377 Manhattan Cir Ste 200, Boulder, CO 80303-4345 | 2007-05-04 |
| 1245458264 | Emmy Washburn Lawrason-kobobel | Neuromusculoskeletal Medicine & OMM | 801 Florida Rd Unit 11, Durango, CO 81301-4775 | 2007-04-23 |
| 1831212596 | Jennifer Jean Mcpeek | Neuromusculoskeletal Medicine & OMM | 942 Oak Street, Steamboat Springs, CO 80487 | 2007-04-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.