Alex Gustaf, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1258595 Issued in TX

Practice address

613 Profit St
Azle, TX 76020-2421

Phone

(682) 453-7102

Fax

(817) 665-3815

NPI assigned

Jun 23, 2015

Last updated

Mar 12, 2025By 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

Locations

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.

• PTX Wellness and Performance Therapy

  • Physical Therapist
  • Azle, TX
  • NPI 1659011831
  NPD Authorized official
• Sportherapy Southwest, PC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Fort Worth, TX
  • NPI 1801812698

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1225410608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8085 EAGLE MOUNTAIN DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761359151",
            "telephone_number": "682-453-7102",
            "fax_number": "817-665-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 PROFIT ST",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760202421",
            "telephone_number": "682-453-7102",
            "fax_number": "817-665-3815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6340 Cromwell Marine Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761794563",
            "country_code": "US",
            "telephone_number": "682-453-7102",
            "fax_number": "817-665-3815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUSTAF",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-23",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1258595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Goodson
• Heather Grayson, AGNP
• Greg Schwartz, M.D., P.a.
• Kathryn Anne Guardado, NP
• Caitlyn Elizabeth Gumbel, APRN
• Kristen Michelle Haas-Huynh, PHARMD
• Kenneth Wayne Hamilton, M.D.
• Stephen Joseph Hamilton, MD
• Christine M Hardee
• Roberta Smith Hardman, MSN. APRN, AGACNP-BC

• Physical Therapist in Azle, TX
• Providers in Azle, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.