Scott Philip Gaustad, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2668 Issued in AZ

Practice address

200 W Hospital Drive
Whiteriver, AZ 85941

Phone

(928) 338-3610

Fax

(928) 338-3522

NPI assigned

Feb 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm

  dba Ak-Chin Clinic

  • Public Health or Welfare Agency
  • Maricopa, AZ
  • NPI 1538043443
  NPD (past)
• DHHS IHS Phoenix Area

  dba Whiteriver Service Unit Dental Clinic

  • Dental Clinic/Center
  • Whiteriver, AZ
  • NPI 1144347501
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063547222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5444 S THUNDER SKY WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857475871",
            "telephone_number": "520-398-4287",
            "fax_number": "928-338-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W HOSPITAL DRIVE",
            "city": "WHITERIVER",
            "state": "AZ",
            "postal_code": "85941",
            "telephone_number": "928-338-3610",
            "fax_number": "928-338-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUSTAD",
        "first_name": "SCOTT",
        "middle_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "2668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Jody Friend, RN
• Emily Gaffney, FNP-C
• Patrick Galdun, PHARM.D.
• Robert Andrew Garcia, LCSW-C
• Marty W Gardner, R.T., R.D.M.S.
• Alena George
• Tammie Jayne Gibson, D.D.S.
• Carol Darlene Gilbreath-Key
• Ryan Gildow, PHARMD
• Vanessa Renee Giocondo, MS, RD, CD

• Physical Therapist in Whiteriver, AZ
• Providers in Whiteriver, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.