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

Eric Gustafson

Individual provider Physical Therapist · NPI 1700285137

Eric Gustafson is a Physical Therapist in Private Practice in Boulder, Colorado. Qualified in 2014, 12 years ago. Practices with Boulder Community Health, a 253-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Illinois.

Years since qualifying
12
Licensed in
CO, IL
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

2150 Stadium Dr
Boulder, CO 80309-4206
Phone: (303) 315-9900
Fax: (303) 315-9902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 24402 W Lockport St, Plainfield, IL 60544-4206 — (815) 609-7000

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PTL.0018005 (CO)
Physical Therapist Taxonomy 225100000X · Licence 070-021112 (IL)

Record details

NPI number1700285137
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 21, 2014
Last updated in NPPESSeptember 29, 2024
Certification dateSeptember 29, 2024
Mailing addressPo Box 9049, Boulder, CO 80301-9049

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Boulder Community Health — 253 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Boulder