CREEKSIDE PHYSICAL MEDICINE PLLC
CREEKSIDE PHYSICAL MEDICINE PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1578601969, based in Boulder, CO. It is classified under Neuromusculoskeletal Medicine & OMM Physician.
Getting there
The practice address on file is 5387 MANHATTAN CIR STE 201, Boulder, CO 80303. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 38635 | CO | Neuromusculoskeletal Medicine & OMM… primary |
This provider holds licence 38635 issued in CO. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 1658373923
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Neuromusculoskeletal Medicine & OMM covers
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. NUCC Health Care Provider Taxonomy, code 204D00000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1578601969 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Feb 1, 2007 |
| Last updated | Aug 4, 2025 |
| Status | Active |
| Practice address |
5387 MANHATTAN CIR STE 201 Boulder, CO 80303 (303) 494-2705 Fax (303) 494-2706 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 7 | 8 | 6 | 0 | 1 | 9 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 5 | 8 | 3 | 0 | 2 | 9 | 3 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.