Active NPI
Sarah G Gustin, CMT
- Specialist
- Fort Collins, CO
National Provider Identifier
1184854895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4633
- Practice address
- 3938 JFK Pkwy Unit 11F
Fort Collins, CO 80525-3087 - Phone
- (970) 204-0516
- Fax
- (970) 204-6812
- NPI assigned
- Jul 16, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4633 | CO | Primary |
Addresses
Primary practice location
3938 JFK Pkwy Unit 11F
Fort Collins, CO 80525-3087
Mailing address
3938 JFK Pkwy Unit 11F
Fort Collins, CO 80525-3087
Phone (970) 204-0516
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35-2309556 | Other | CO | MEDICAL MASSAGE THERAPY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4633 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247702400000",
"number": "1184854895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3938 JFK PKWY UNIT 11F",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805253087",
"telephone_number": "970-204-0516",
"fax_number": "970-204-6812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3938 JFK PKWY UNIT 11F",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805253087",
"telephone_number": "970-204-0516",
"fax_number": "970-204-6812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUSTIN",
"first_name": "SARAH",
"middle_name": "G",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-16",
"last_updated": "2009-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CO",
"license": "4633",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MASSAGE THERAPY",
"identifier": "35-2309556",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.