Carl Gustafson, PT
Physical Therapist in Wellesley, Massachusetts
1225119597- Practice location
- 2 Laurel Ave, Wellesley, MA 02481-7523
- Phone
- 781-237-5585
- Fax
- 781-237-5633
- Last updated
- April 29, 2016
Carl Gustafson is a Physical Therapist based in Wellesley, MA. Carl Gustafson practices in Wellesley, MA and has the professional credentials of PT. The NPI Number for Carl Gustafson is 1225119597 and holds a License No. 6530 (MA). The current practice location address for Carl Gustafson is 2 Laurel Ave, Wellesley, MA 02481-7523 and can be reached out via phone at 781-237-5585 and via fax at 781-237-5633.
Provider Profile Details
- NPI Number
- 1225119597
- Provider Name
- Carl Gustafson
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2 Laurel Ave, Wellesley, MA 02481-7523
- Phone Number
- 781-237-5585
- Fax Number
- 781-237-5633
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 17, 2006
- Last Update Date
- April 29, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2 Laurel Ave
Wellesley, MA 02481-7523 - City
- Wellesley
- State
- Massachusetts
- Zip
- 02481-7523
- Phone Number
- 781-237-5585
- Fax Number
- 781-237-5633
Provider Business Mailing Address Details
- Address
- 790 Remington Blvd
Bolingbrook, IL 60440-4909 - City
- Bolingbrook
- State
- IL
- Zip
- 60440-4909
- Phone Number
- 630-296-2223
License Information
- License Number
- 6530
- License State
- MA
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Carl Gustafson, PT?
The NPI number of Carl Gustafson, PT is 1225119597. It was assigned on October 17, 2006 and is currently active in the NPPES registry.
What is the specialty of Carl Gustafson, PT?
Carl Gustafson, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 6530.
Where does Carl Gustafson, PT practice?
The practice location is 2 Laurel Ave, Wellesley, MA 02481-7523. The office can be reached at 781-237-5585 (phone) or 781-237-5633 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225119597 directly on the NPPES registry website.