Carl Gustafson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1801 W 2ND St
Montgomery, AL 36106-1503

Phone

(334) 356-1218

Fax

(334) 356-1219

NPI assigned

Aug 24, 2006

Last updated

Mar 11, 2013By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Orthopedic Rehabilitation and Training

  • Physical Therapy Clinic/Center
  • Prattville, AL
  • NPI 1023240306
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1235246125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 SWEETBRIAR LN",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360671935",
            "telephone_number": "334-356-1218",
            "fax_number": "334-356-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W 2ND ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061503",
            "telephone_number": "334-356-1218",
            "fax_number": "334-356-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "CARL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "H2732",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sadaf Gul, MD
• Jasjeet Kaur Gulati, M.S.,LPC
• Yuqing Guo
• Ruchi Gupta, M.D.
• Vikas Gupta, MD
• Allison W Guy, NP
• Kierra Nicole Guyton Allen, ALC
• Hayley Gwin
• Hiboombe M Haamankuli, CRNP-BC
• Mavia Habib

• Physical Therapist in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.