Karen L Bustillo, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2128 Issued in AZ

Practice address

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

Phone

(480) 892-0808

Fax

(480) 892-6045

NPI assigned

Aug 29, 2005

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Killeen Therapy Services, Inc

  • Rehabilitation Practitioner
  • Glendale, AZ
  • NPI 1164455531
  NPD (past)

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1598758187",
    "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": {
        "last_name": "BUSTILLO",
        "first_name": "KAREN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-29",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "2128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard E Burton, M.D.
• Trina Louise Bury, NP
• Amanda Busch, FNP-C
• Thomas Joseph Busch, CRNA
• Bryan Bussone, PA-C
• Mikayla Butkus, PMHNP-BC
• Demario Butler
• Keith Claude Butler, MD MBA FACEP CPE
• Kim-Ellen Butler, SLP
• Kolette A Butler, PSYD

• Physical Therapist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.