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

Daniel Fettig, PA

Individual provider Physician Assistant · NPI 1720747934

Daniel Fettig, PA is a Physician Assistant in Boulder, Colorado. Graduated from George Washington University School of Medicine in 2020, 6 years ago. Practices with Creekside Physical Medicine PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
6
Trained at
George Washington University School of Medicine
Licensed in
CO
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5387 Manhattan Cir Ste 201
Boulder, CO 80303-4283
Phone: (303) 494-2707
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0006373 (CO)

Record details

NPI number1720747934
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 15, 2021
Last updated in NPPESDecember 15, 2021
Certification dateDecember 15, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Creekside Physical Medicine Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Boulder