Jason Gulstrom, PT
Individual provider Active NPI Physical Therapist · Appomattox, VA
NPI 1093480170 · NPPES record last updated Aug 11, 2021
Key facts
- NPI
- 1093480170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2305214485 (VA)
- Practice address
- 571 Court Street
Appomattox, VA 24522-2450 - Phone
- (434) 352-5799
- Fax
- (434) 509-1695
- NPI assigned
- Aug 11, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rehabilitation Associates of Central Virginia Limited Partnership
Practice addresses (Care Compare)
571 Court St
Appomattox, VA 24522-8212
Phone (737) 352-5799
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.57 of 100
- Quality
- 98.54
- Improvement activities
- 40
- Cost
- 74.59
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211001000156 | VA | Practitioner - Physical Therapist in Private Practice | 0648677831 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation Associates of Central Virginia Limited Partnership | Physical Therapist | Current |
Accepting new patients |
| Rehabilitation Associates of Central Virginia Limited Partnership | Physical Therapist | Current |
Accepting new patients |
Locations
1111 Corporate Park Dr
Ste B
Forest, VA 24551
Phone (434) 525-4851
14339 Wards Rd
Ste C
Lynchburg, VA 24502
Phone (434) 226-0224
20347 Timberlake Rd
Ste B
Lynchburg, VA 24502
Phone (434) 237-6812
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305214485 | VA | Yes |
Addresses
Primary practice location
571 Court Street
Appomattox, VA 24522-2450
Mailing address
20347 Timberlake Rd Ste B
Lynchburg, VA 24502-7352
Phone (434) 352-5799
Other providers in Appomattox, VA
- Candice N Gilbert
- Alexandra Regina Glover
- Robin Glover
- Melissa Kathleen Gregory
- Richard Floyd Guill
- Dana Carol Gunn
- Richard Gene Hansson
- Harman Eye Center of Appomattox and Associates PLC
- Shana Harvey
- Larry Wayne Hoff
All providers in Appomattox, VA · Physical Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.