Samuel T Gustafson, OT
Occupational Therapist in Manchester, New Hampshire
1740417575- Practice location
- 655 S Willow St Ste 128, Manchester, NH 03103-5723
- Phone
- 800-995-2673
- Fax
- —
- Last updated
- October 27, 2026
Samuel Taylor Gustafson is an Occupational Therapist based in Manchester, NH. Samuel Taylor Gustafson practices in Manchester, NH and has the professional credentials of OT. The NPI Number for Samuel Taylor Gustafson is 1740417575 and holds a License No. 0000000651 (TN). The current practice location address for Samuel Taylor Gustafson is 655 S Willow St Ste 128, Manchester, NH 03103-5723 and can be reached out via phone at 800-995-2673.
Provider Profile Details
- NPI Number
- 1740417575
- Provider Name
- Samuel Taylor Gustafson
- Credential
- OT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 655 S Willow St Ste 128, Manchester, NH 03103-5723
- Phone Number
- 800-995-2673
- Primary Taxonomy
- Occupational Therapist · 225X00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 19, 2009
- Last Update Date
- October 27, 2026
- Certification Date
- October 27, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 655 S Willow St Ste 128
Manchester, NH 03103-5723 - City
- Manchester
- State
- New Hampshire
- Zip
- 03103-5723
- Phone Number
- 800-995-2673
Provider Business Mailing Address Details
- Address
- 655 S Willow St Ste 128
Manchester, NH 03103-5723 - City
- Manchester
- State
- NH
- Zip
- 03103-5723
- Phone Number
- 800-995-2673
License Information
- License Number (1)
- 0000000651
- License State (1)
- TN
- Taxonomy (1)
- Occupational Therapist · 225X00000X
- License Number (2)
- 6244
- License State (2)
- AL
- Taxonomy (2)
- Occupational Therapist · 225X00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Occupational Therapists near Manchester, NH
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- Alexandra Stout, OTR/LOccupational Therapist · NPI 1811594542
- Alisa Dubinski, OTOccupational Therapist · NPI 1497266100
- Allison Demaria, OTOccupational Therapist · NPI 1194375287
- Allison M Lavery, OTR/LOccupational Therapist · NPI 1538791348
Frequently Asked Questions
What is the NPI number of Samuel T Gustafson, OT?
The NPI number of Samuel T Gustafson, OT is 1740417575. It was assigned on June 19, 2009 and is currently active in the NPPES registry.
What is the specialty of Samuel T Gustafson, OT?
Samuel T Gustafson, OT is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in TN under license number 0000000651.
Where does Samuel T Gustafson, OT practice?
The practice location is 655 S Willow St Ste 128, Manchester, NH 03103-5723. The office can be reached at 800-995-2673 (phone).
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 1740417575 directly on the NPPES registry website.