Carl Gustafson, PT
NPI 1225119597ActiveIndividual· Physical Therapist· Wellesley, MA
Physical Therapist (PT) with Children's Sports Medicine Foundation Inc, practicing in Wellesley, Massachusetts. Medicare paid $3,650 for services to 18 patients in 2024.
Overview
| NPI | 1225119597 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Oct 17, 2006 |
| Last updated in NPPES | Apr 29, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 6530 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 18 |
|---|---|
| Services billed | 147 across 4 procedure codes |
| Paid by Medicare | $3,650 |
Education and affiliations
| Graduation year | 1987 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Children's Sports Medicine Foundation IncBoston, MA · 33 clinicians
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