Organization Active NPI

Karen L. Bustillo, PT, Ocs, P.L.L.C.

Doing business as Bustillo Physical Therapy

  • Physical Therapist
  • Gilbert, AZ
National Provider Identifier
1548464803
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2128 Issued in AZ
Legal business name
KAREN L. BUSTILLO, PT, OCS, P.L.L.C.
Doing business as
Bustillo Physical Therapy
Practice address
201 W Guadalupe Rd
#313
Gilbert, AZ 85233-3332
Phone
(480) 892-0808
Fax
(480) 892-6045
NPI assigned
Jun 12, 2007
Last updated
Feb 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Authorized official

Name
Dr. Karen L Bustillo, PT, DPTNPI 1598758187
Title
Owner
Phone
(480) 892-0808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2128 AZ Primary

Addresses

Primary practice location

201 W Guadalupe Rd
#313
Gilbert, AZ 85233-3332

Mailing address

201 W Guadalupe Rd
#313
Gilbert, AZ 85233-3332
Phone (480) 892-0808

Other names 1

  • BUSTILLO PHYSICAL THERAPY Doing business as

National Provider Directory

National Provider Directory

Locations

201 E Guadalupe Rd 314
Gilbert, AZ 85234
Phone (480) 892-0808

201 W Guadalupe Rd
Ste 313
Gilbert, AZ 85233
Phone (480) 892-0808

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1548464803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W GUADALUPE RD",
            "address_2": "#313",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333332",
            "telephone_number": "480-892-0808",
            "fax_number": "480-892-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W GUADALUPE RD",
            "address_2": "#313",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333332",
            "telephone_number": "480-892-0808",
            "fax_number": "480-892-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN L. BUSTILLO, PT, OCS, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "BUSTILLO",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-892-0808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "2128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BUSTILLO PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.