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Active NPI 1053655860 Individual Practitioner Female Practitioner

Jody Gustafson

Physical Therapist - Pediatrics • Bothell, WA

Professional Overview & Biography Verified Profile Summary

Jody Gustafson is a registered healthcare professional specializing in Physical Therapist - Pediatrics in Bothell, WA. Practice services are available at 3330 MONTE VILLA PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3330 Monte Villa Pkwy

Bothell, WA 980218972

Telephone 4254085570
Associated Practice Facility / Clinic
🏢 Northshore School District Facility NPI 1366476996

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist - Pediatrics in Bothell, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.3 Yrs
Regional Practice Density
6 Specialists

Practicing in Bothell, WA (173 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physical Therapist - Pediatrics Primary Specialty

NUCC Taxonomy Code: 2251P0200X

State License WA PT 00002619

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Paula Busch

Occupational Therapist - Pediatrics

NPI 1508100314
Charlotta Kromann , SLP

Speech-Language Pathologist

NPI 1659640852

Speech-Language Pathologist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 16, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 16, 2012

Registered at 3330 MONTE VILLA PKWY, BOTHELL, WA 980218972 (Tel: 4254085570)

📍
Updated Business Mailing Address November 16, 2012

Registered at 19705 88TH AVE NE, BOTHELL, WA 980112121

👤
Provider Name / Credentials Updated November 16, 2012

Recorded as JODY GUSTAFSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2012

Physical Therapist (License #PT 00002619 in WA)

🟢
Initial NPI Registration & Enumeration November 16, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053655860
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2012
Last Update: November 16, 2012
Sole Proprietor: No

Mailing Address

19705 88th Ave Ne

Bothell, WA 980112121

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.