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

Craig Robert Gustafson

Individual provider Physical Therapist · NPI 1629685573

Craig Robert Gustafson is a Physical Therapist in Private Practice in Deer Park, Washington. Qualified in 2020, 6 years ago. Practices with Deer Park Physical Therapy Inc, a 6-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
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Practice location Address checks out

707 S Park St
Deer Park, WA 99006-7025
Phone: (509) 276-8811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1629685573
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 24, 2020
Last updated in NPPESMay 22, 2024
Certification dateMay 22, 2024
Mailing address707 S Park St, Deer Park, WA 99006-7025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Deer Park Physical Therapy Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Deer Park