Mary Helen E. Gustafson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 02230 Issued in RI

Practice address

310 Maple Ave
Suite 104
Barrington, RI 02806-3430

Phone

(401) 247-0500

Fax

(401) 247-0507

NPI assigned

Oct 28, 2009

Sex

Female

Sole proprietor

No

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

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.

• Nurturing Wellness Physical Therapy

  • Physical Therapy Clinic/Center
  • North Kingstown, RI
  • NPI 1164176079
  NPD Authorized official
• Lepre Physical Therapy of Narragansett LLC

  • Physical Therapist
  • Narragansett, RI
  • NPI 1801075148
  NPD

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1821324740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MAPLE AVE",
            "address_2": "SUITE 104",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028063430",
            "telephone_number": "401-247-0500",
            "fax_number": "401-247-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MAPLE AVE",
            "address_2": "SUITE 104",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028063430",
            "telephone_number": "401-247-0500",
            "fax_number": "401-247-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "MARY HELEN",
        "middle_name": "E.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-28",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT 02230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Lee Greene, MPT
• Brian Greene, OPTICIAN
• Abigail Elisa Greiner
• Angela Grenander, MD
• Tammie Bird Guerra, CCCSLP
• Elizabeth Christine Hall, ED.D., PH.D.
• Mary Thomas Hanchar, MSPT
• Elaine Desrosiers Hart, NP
• Katherine A Hart, M.D.
• Havenwood Health LLC

• Physical Therapist in Barrington, RI
• Providers in Barrington, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.