Creekside Physical Medicine PLLC in Boulder, CO
This location of Creekside Physical Medicine bills under NPI 1578601969, an organization record issued on Feb 1, 2007 with the primary taxonomy Neuromusculoskeletal Medicine & OMM Physician. It is one of 2 NPIs registered under this name; each clinician who sees you there has their own NPI and license.
Organization recordNPPES, Aug 2026
1578601969
- Legal name
- Creekside Physical Medicine PLLC
- Entity
- Type 2 · organization
- Primary taxonomy
- Neuromusculoskeletal Medicine & OMM Physician 204D00000X
- Practice location
- 5387 MANHATTAN CIR STE 201, Boulder, CO 80303
- Phone
- 303-494-2705
- Enumerated
- Feb 1, 2007
- Record updated
- Aug 4, 2025
- Authorized official
- Principal Clinician (title as filed)
3 clinicians CMS lists with Creekside Physical Medicine in Boulder
- Daniel Fettig, PAPhysician Assistant1720747934
- Haley Kershaw, PA-CPhysician Assistant1568005510
- David Tanner, DONeuromusculoskeletal Medicine & OMM Physician1609897578
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
All 2 Creekside Physical Medicine NPIs
Every location registered under this name, in 2 cities.
See every locationChecking an organization
- Confirm the business with the Colorado secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
Common questions
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.