Individual provider Active NPI

Creighton James Thompson, DPT

  • Physical Therapist
  • Westminster, CO
National Provider Identifier
1831790385
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17234 Issued in CO
Practice address
4550 Main St Unit 200
Westminster, CO 80031-5175
Phone
(720) 497-6162
Fax
(720) 497-6723
NPI assigned
Nov 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 17234 CO Primary

Addresses

Primary practice location

4550 Main St Unit 200
Westminster, CO 80031-5175

Mailing address

4550 Main St Unit 200
Westminster, CO 80031-5175
Phone (720) 497-6162

Other practice location 1

315 W South Boulder Rd Ste 100
Louisville, CO 80027-1157
Phone (303) 666-4151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201123000820 CO Practitioner - Physical Therapist in Private Practice 8224449376 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Panorama Orthopedics and Spine Center PCGroup PAC ID 8426961087, 316 clinicians
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

4550 Main St
Unit 200
Westminster, CO 80031-5175
Phone (303) 233-1223

6767 29TH St
Greeley, CO 80634-5474
Phone (970) 224-3636

Merit-based Incentive Payment System (MIPS)

Final score
96.68 of 100Reported as group
Quality
96.09
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17234COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Panorama Orthopedics and Spine Center PC Current Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Apr 20, 2022 Accepting new patients
Coal Creek Physical Therapy, LLC Physical Therapist CurrentSince Nov 2, 2020 Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Apr 20, 2022 Accepting new patients
Coal Creek Diagnostics, LLC PastSince Nov 1, 2020 Accepting new patients

Locations

350 Broadway St
Ste 50
Boulder, CO 80305
Phone (303) 499-2879

660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321

315 W South Boulder Rd
Ste 100
Louisville, CO 80027
Phone (303) 601-6666

4550 Main St
Unit 200
Westminster, CO 80031
Phone (720) 497-6162

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1831790385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 MAIN ST UNIT 200",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800315175",
            "telephone_number": "720-497-6162",
            "fax_number": "720-497-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 MAIN ST UNIT 200",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800315175",
            "telephone_number": "720-497-6162",
            "fax_number": "720-497-6723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 W South Boulder Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "CO",
            "postal_code": "800271157",
            "country_code": "US",
            "telephone_number": "303-666-4151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CREIGHTON",
        "middle_name": "JAMES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-02",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "17234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.