Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Craig Robert Gustafson

Individual provider Physical Therapist · NPI 1629685573

Craig Robert Gustafson is registered under 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

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients59
Services billed 1,475 a service is one billed item, such as a visit, a test or a procedure
Average patient age70

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Deer Park Physical Therapy Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Deer Park