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

Jason Gulstrom, PT

Individual provider Physical Therapist · NPI 1093480170

Jason Gulstrom, PT is a Physical Therapist in Private Practice in Appomattox, Virginia. Qualified in 2021, 5 years ago. Practices with Rehabilitation Associates of Central Virginia Limited Partnership, a 56-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2021
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

571 Court St
Appomattox, VA 24522-2450
Phone: (434) 352-5799
Fax: (434) 509-1695
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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 2305214485 (VA)

Record details

NPI number1093480170
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 11, 2021
Last updated in NPPESAugust 11, 2021
Certification dateJuly 16, 2021
Mailing address20347 Timberlake Rd Ste B, Lynchburg, VA 24502-7352

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Rehabilitation Associates Of Central Virginia Limited Partnership — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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