KENNETH GUSTAFSON (NPI# 1144640723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144640723 |
| Entity Type | Individual |
| Full Name | KENNETH GUSTAFSON |
| Practice Address |
23888 Mulholland Drive Ms # 270 Woodland Hills CA 91364 |
| Mailing Address |
5767 W Century Blvd Suite 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 8188751050 |
| Mailing Telephone | 3103018714 |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | AT 4143 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
23888 MULHOLLAND DRIVE MS # 270 |
| City | WOODLAND HILLS |
| State | CA |
| Zip Code | 91364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316574890 | Woodland Hills Cardiology Group, PC | Internal Medicine | Woodland Hills Cardiology Group, PC, 22900 Ventura Blvd, Ste 165, Woodland Hills, CA 91364 | 2020-03-25 |
| 1952940967 | Creative Care, Inc. | Substance Abuse Rehabilitation Facility | 5311 Topanga Canyon Blvd, Suites 203 & 207, Woodland Hills, CA 91364 | 2019-12-23 |
| 1629544531 | Jessica Sarah Anishban | Marriage & Family Therapist | 22935 Ventura Blvd Ste 212, Woodland Hills, CA 91364 | 2018-10-17 |
| 1194249128 | Katia Siri | Acupuncturist | 4830 Winnetka Avenue, Woodland Hills, CA 91364 | 2017-08-01 |
| 1457881070 | Navid Messian | Marriage & Family Therapist | 5308 Penfield Ave., Woodland Hills, CA 91364 | 2017-06-15 |
| 1801330766 | Samantha Meghann Mathew | Behavioral Analyst | 20259 Ventura Blvd Ste 259a, Woodland Hills, CA 91364 | 2016-12-12 |
| 1356793947 | Evolve Growth Initiatives, LLC | Clinic/Center | 4810 Azucena Rd, Woodland Hills, CA 91364 | 2016-07-07 |
| 1538516976 | Chris Massman | Marriage & Family Therapist | 5242 Darro Road, Woodland Hills, CA 91364 | 2016-05-16 |
| 1588065874 | Morrice Barkers Apprey | Marriage & Family Therapist | 21031 Ventura Blvd., #704, Woodland Hills, CA 91364 | 2014-09-06 |
| 1225395551 | Sherry L. Rotchford | Marriage & Family Therapist | 22028 Ventura Blvd., #203, Woodland Hills, CA 91364 | 2012-04-11 |
| Find all providers in zip 91364 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730546102 | Patrick Sau | Physical Therapy Assistant | 5727 Canoga Ave Apt 192, Woodland Hills, CA 91367-6716 | 2016-01-15 |
| 1013186600 | Eric James Espiritu | Physical Therapy Assistant | 5601 Desoto Ave, Woodland Hills, CA 91365-4084 | 2008-02-27 |
| 1528271004 | Wendy D Grogan | Physical Therapy Assistant | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2007-05-08 |
| 1306066725 | Antonia M Travaglini | Physical Therapy Assistant | 5601 Desoto Ave, Woodland Hills, CA 91365 | 2007-04-26 |
| 1346466448 | Alicia V Reyes | Physical Therapy Assistant | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587142 | Phillip A Sainz | Physical Therapy Assistant | 27136 Paseo Espada Ste B1103, San Juan Capistrano, CA 92675-2737 | 2020-10-26 |
| 1932708385 | Alisia Rios | Physical Therapy Assistant | 10445 Mast Blvd Apt 205, Santee, CA 92071-5331 | 2020-10-17 |
| 1376141275 | Andy Fang | Physical Therapy Assistant | 45 Palatine Apt 246, Irvine, CA 92612-7642 | 2020-10-13 |
| 1700484987 | Huy Nguyen | Physical Therapy Assistant | 4133 Mohr Ave Ste H, Pleasanton, CA 94566-4750 | 2020-10-11 |
| 1285231928 | Laura Merrick | Physical Therapy Assistant | 10082 Manzanita Dr, Alta Loma, CA 91737-2918 | 2020-10-06 |
| 1356958839 | Karan Kamdar | Physical Therapy Assistant | 8123 Magnolia Ave Apt 39, Riverside, CA 92504-3463 | 2020-09-28 |
| 1942817978 | Yusuf Hammoud | Physical Therapy Assistant | 2226 W Grayson Ave, Anaheim, CA 92801-1541 | 2020-09-24 |
| 1528673662 | Cinnamon Anjelica Marie San Miguel | Physical Therapy Assistant | 1104 S Gunlock Ave, Compton, CA 90220-4430 | 2020-09-15 |
| 1780299354 | Laura Barker | Physical Therapy Assistant | 255 N White Rd Ste 200c, San Jose, CA 95127-1966 | 2020-09-10 |
| 1598379869 | Fernando Rey Dupa Bosch | Physical Therapy Assistant | 7016 Corvus Cir, Roseville, CA 95747-8765 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
| City | WOODLAND HILLS |
| Zip Code | 91364 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.