Individual provider Active NPI

David Leor Gustafson, DPT

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1316379308
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P15717 Issued in NC
Practice address
16139 Lancaster Hwy Ste 140
Charlotte, NC 28277-2976
Phone
(704) 542-2492
NPI assigned
Aug 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P15717 NC Primary

Addresses

Primary practice location

16139 Lancaster Hwy Ste 140
Charlotte, NC 28277-2976

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

3935 Brian Jordan Pl
Ste 119
High Point, NC 27265-8036
Phone (336) 885-0440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150906000010 NC Practitioner - Physical Therapist in Private Practice 4688817885 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Emory University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benchmark Physical Therapy of North Carolina, LLCGroup PAC ID 1052609278, 242 clinicians
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

3935 Brian Jordan PL
Suite 119
High Point, NC 27265-8036
Phone (336) 885-0440

3978 Wilson Rd
Mebane, NC 27302-9985
Phone (919) 246-9033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Oct 1, 2016 Accepting new patients
Drayer Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Jul 31, 2025 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jul 31, 2025 Accepting new patients
Physical Therapy and Hand Specialists, LLC Physical Therapist CurrentSince Aug 31, 2015 Accepting new patients
Physical Therapy and Hand Specialist, LLC CurrentSince Aug 31, 2015 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Oct 1, 2016 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jul 31, 2025 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

16139 Lancaster Hwy
Ste 140
Charlotte, NC 28277
Phone (704) 540-6930

207 E Meadow Rd
Ste 3
Eden, NC 27288
Phone (336) 627-3771

3935 Brian Jordan Pl
Ste 119
High Point, NC 27265
Phone (336) 885-0440

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

3978 Wilson Rd
Mebane, NC 27302
Phone (919) 246-9033

1901 NW Cary Pkwy
Ste 110
Morrisville, NC 27560
Phone (919) 678-1525

1520 Sunday Dr
Ste 105
Raleigh, NC 27607
Phone (919) 420-1682

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

8823 Production Ln
Ooltewah, TN 37363
Phone (423) 238-8923

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1316379308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16139 LANCASTER HWY STE 140",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772976",
            "telephone_number": "704-542-2492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3935 Brian Jordan Pl",
            "address_2": "Ste 119",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272658036",
            "country_code": "US",
            "telephone_number": "336-885-0440",
            "fax_number": "336-885-0442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "DAVID",
        "middle_name": "LEOR",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-01",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P15717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.