Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lauretta Marie Rustad, PT, DPT

Individual provider Physical Therapist · NPI 1083963839

Lauretta Marie Rustad, PT, DPT is a Physical Therapist in Private Practice in Victorville, California. Qualified in 2011, 15 years ago. Practices with New Life Physical Therapy Services PC, a 94-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
15
Licensed in
CA
In the registry since
2012
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

12402 Industrial Blvd Ste B-2
Victorville, CA 92395-5871
Phone: (760) 955-6061
Fax: (760) 955-6062
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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 39367 (CA)

Record details

NPI number1083963839
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedSeptember 6, 2012
Last updated in NPPESMarch 2, 2015

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice New Life Physical Therapy Services Pc — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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