Active NPIOrganization

Carl Gustafson LLC

Physical Therapist in Wellesley, Massachusetts

NPI Number1356366082
Practice location
2 Laurel Ave, Wellesley, MA 02481-7523
Fax
781-237-5633
Last updated
June 12, 2017

Carl Gustafson LLC is a healthcare organization based in Wellesley, MA. Carl Gustafson LLC practices in Wellesley, MA. The NPI Number for Carl Gustafson LLC is 1356366082. The current practice location address for Carl Gustafson LLC 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
1356366082
Provider Name
Carl Gustafson LLC
Provider Entity Type
Organization
Address
2 Laurel Ave, Wellesley, MA 02481-7523
Phone Number
781-237-5585
Fax Number
781-237-5633
Primary Taxonomy
Physical Therapist · 225100000X
Organization Subpart
No
Authorized Official
Lynn Mcgivern · Chief Compliance Officer · 630-296-2222
Other Names
Sports And Physical Therapy Associates (Doing Business As)
Provider Enumeration Date
July 13, 2006
Last Update Date
June 12, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Laurel Ave
Wellesley, MA 02481-7523
Zip
02481-7523
Phone Number
781-237-5585
Fax Number
781-237-5633
Wellesley, MA 02481Get directions →

Provider Business Mailing Address Details

Address
790 Remington Blvd
Bolingbrook, IL 60440
City
Bolingbrook
State
IL
Zip
60440
Phone Number
630-296-2222

License Information

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 Carl Gustafson LLC?

The NPI number of Carl Gustafson LLC is 1356366082. It was assigned on July 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Carl Gustafson LLC?

Carl Gustafson LLC is registered under the primary taxonomy Physical Therapist (code 225100000X).

Where does Carl Gustafson LLC 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 1356366082 directly on the NPPES registry website.

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