Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Potomac Square Family Medicine, LLC

Organization Physical Therapist · NPI 1861001554

Potomac Square Family Medicine, LLC is a Physical Therapist in Boulder, Colorado. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4800 Baseline Rd Ste D106
Boulder, CO 80303-2643
Phone: (303) 499-0176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Physical Therapist Taxonomy 225100000X

Record details

NPI number1861001554
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Gluchacki — Svp, Compliance · (508) 689-9706
NPI enumeratedJuly 28, 2020
Last updated in NPPESApril 14, 2022
Certification dateApril 14, 2022
Mailing addressPo Box 173848, Denver, CO 80217-3848

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