Active NPIIndividual providerSole proprietor

Alexandra Gustafson, DPT, PT

Physical Therapist in Tewksbury, Massachusetts

NPI Number1295208767
Practice location
1830 Main St Apt 1, Tewksbury, MA 01876-4712
Fax
978-710-6879
Last updated
January 8, 2019

Alexandra Gustafson is a Physical Therapist based in Tewksbury, MA. Alexandra Gustafson practices in Tewksbury, MA and has the professional credentials of DPT, PT. The NPI Number for Alexandra Gustafson is 1295208767 and holds a License No. 23462 (MA). The current practice location address for Alexandra Gustafson is 1830 Main St Apt 1, Tewksbury, MA 01876-4712 and can be reached out via phone at 978-710-6254 and via fax at 978-710-6879.

Provider Profile Details

NPI Number
1295208767
Provider Name
Alexandra Gustafson
Credential
DPT, PT
Provider Entity Type
Individual
Gender
Female
Address
1830 Main St Apt 1, Tewksbury, MA 01876-4712
Phone Number
978-710-6254
Fax Number
978-710-6879
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
January 8, 2019
Last Update Date
January 8, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
1830 Main St Apt 1
Tewksbury, MA 01876-4712
Zip
01876-4712
Phone Number
978-710-6254
Fax Number
978-710-6879
Tewksbury, MA 01876Get directions →

Provider Business Mailing Address Details

Address
1 Credit Union Way Fl 3
Randolph, MA 02368-4633
City
Randolph
State
MA
Zip
02368-4633
Phone Number
781-961-3370
Fax Number
781-961-1291

License Information

License Number
23462
License State
MA
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Alexandra Gustafson, DPT, PT?

The NPI number of Alexandra Gustafson, DPT, PT is 1295208767. It was assigned on January 8, 2019 and is currently active in the NPPES registry.

What is the specialty of Alexandra Gustafson, DPT, PT?

Alexandra Gustafson, DPT, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 23462.

Where does Alexandra Gustafson, DPT, PT practice?

The practice location is 1830 Main St Apt 1, Tewksbury, MA 01876-4712. The office can be reached at 978-710-6254 (phone) or 978-710-6879 (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 1295208767 directly on the NPPES registry website.

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