Elizabeth Gust
Individual provider Active NPI Physical Therapist · Westfield, WI
NPI 1184007650 · NPPES record last updated Jul 2, 2015
Key facts
- NPI
- 1184007650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 13176-024 (WI)
- Practice address
- 211 N Pioneer Park Rd
Westfield, WI 53964 - Phone
- (608) 296-2225
- NPI assigned
- Jul 2, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13176-024 | WI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13176-024 | WI | Yes |
Addresses
Primary practice location
211 N Pioneer Park Rd
Westfield, WI 53964
Mailing address
2639 New Pinery Rd
Suite 2
Portage, WI 53901-1110
Other providers in Westfield, WI
- Ivy Anderson
- Deanna Renee Brickham
- Aaron M Clements
- Robert E Crawford
- Annette Faith Gouker
- Elizabeth Catherine Hipke
- Interra Health Inc.
- Jason Jerome
- Kevin Klar DDS LLC
- Lakeview Care Partners
All providers in Westfield, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2015. 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.