Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carl Gustafson, PT

Individual provider Physical Therapist · NPI 1225119597

Carl Gustafson, PT is a Physical Therapist in Private Practice in Wellesley, Massachusetts. Qualified in 1987, 39 years ago. Practices with Children's Sports Medicine Foundation Inc, a 33-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
39
Licensed in
MA
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2 Laurel Ave
Wellesley, MA 02481-7523
Phone: (781) 237-5585
Fax: (781) 237-5633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 6530 (MA)

Record details

NPI number1225119597
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 17, 2006
Last updated in NPPESApril 29, 2016
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Children'S Sports Medicine Foundation Inc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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