Individual provider Active NPI

James Raymond Gustafson, O.T.

  • Occupational Therapist
  • Butte, MT
National Provider Identifier
1396101804
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4000 Issued in MT
Practice address
5050 Harrison Ave Ste 7
Butte, MT 59701-7033
Phone
(406) 792-1099
Fax
(406) 601-8845
NPI assigned
Jan 13, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4000 MT Primary

Addresses

Primary practice location

5050 Harrison Ave Ste 7
Butte, MT 59701-7033

Mailing address

5050 Harrison Ave Ste 7
Butte, MT 59701-7033
Phone (406) 792-1099

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160209001568 MT Practitioner - Occupational Therapist in Private Practice 2062716269 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strength in Motion LLCGroup PAC ID 0547782765, 8 clinicians

Practice addresses (Care Compare)

5050 Harrison Ave
Suite 7
Butte, MT 59701-7033
Phone (406) 792-1099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4000MTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Peak Physical Therapy Inc. Occupational Therapist CurrentSince Nov 30, 2015 Accepting new patients
Strength in Motion LLC Occupational Therapist CurrentSince Feb 3, 2025 Accepting new patients
Lone Peak Physical Therapy Inc CurrentSince Nov 30, 2015 Accepting new patients
Lone Peak Physical Therapy Inc Occupational Therapist Past Accepting new patients

Locations

312 W Main St
Ste 1
Belgrade, MT 59714
Phone (406) 388-2235

536 S Cottonwood Rd
Ste 103
Bozeman, MT 59718
Phone (406) 548-6266

5050 Harrison Ave
Ste 7
Butte, MT 59701
Phone (406) 792-1099

3745 Harrison Ave
Ste C
Butte, MT 59701
Phone (406) 494-7050

Organizations & group practices 4

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": "1452643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1396101804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 HARRISON AVE STE 7",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597017033",
            "telephone_number": "406-792-1099",
            "fax_number": "406-601-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 HARRISON AVE STE 7",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597017033",
            "telephone_number": "406-792-1099",
            "fax_number": "406-601-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "JAMES",
        "middle_name": "RAYMOND",
        "credential": "O.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-13",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MT",
            "license": "4000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.