Robert Lee Gustitus, DPT
Individual provider Active NPI Orthopedic Physical Therapist · Wixom, MI
NPI 1104595321 · NPPES record last updated Sep 10, 2021
Key facts
- NPI
- 1104595321
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- 5501020234
- Practice address
- 50200 Dennis CT
Wixom, MI 48393-2021 - Phone
- (248) 229-5000
- NPI assigned
- Sep 10, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Element Chiropractic & Wellness, LLC | Current |
Accepting new patients |
Locations
50200 Dennis Ct
Wixom, MI 48393
Phone (248) 229-5000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 5501020234 | Yes |
Addresses
Primary practice location
50200 Dennis CT
Wixom, MI 48393-2021
Mailing address
50200 Dennis CT
Wixom, MI 48393-2021
Phone (248) 229-5000
Other providers in Wixom, MI
- Kathryn Glad
- Jennifer Glasgow
- Shawn William Grant
- Sandra L Greenspan
- Grounded in Grace Counseling PLLC
- Farah Gabrial Hado
- Harbor Oxygen of Southeast Mi, LLC
- Kira Elise Harris
- Gretchen Marie Hart
- Artenisa Hatija
All providers in Wixom, MI · Orthopedic Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.