KRISTIN A GUSTAFSON (NPI# 1447222765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447222765 |
| Entity Type | Individual |
| Full Name | KRISTIN A GUSTAFSON |
| Credential | DO |
| Practice Address |
25 S 9th St Fl 1 Philadelphia PA 19107 |
| Mailing Address |
25 S 9th St Fl 1 Philadelphia PA 19107-4408 |
| Practice Telephone | 2159551200 |
| Practice Fax Number | 2159236808 |
| Mailing Telephone | 2159551200 |
| Mailing Fax Number | 2159236808 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2018-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | OS014841 | PA | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | MD225827 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 102334750 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3 Crescent Dr Fl 3, Philadelphia, PA 191121016 | 2155033321 | 2155037180 |
| Street Address |
25 S 9TH ST FL 1 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659729481 | Marisa Christina Moreta | Physical Medicine & Rehabilitation | 25 S 9th St Fl 1, Philadelphia, PA 19107-4408 | 2016-06-02 |
| 1508126806 | Shawn M. Peterson | Physical Medicine & Rehabilitation | 25 S 9th St Fl 1, Philadelphia, PA 19107-4408 | 2012-05-21 |
| 1386935559 | Tulasi Gude | Physical Medicine & Rehabilitation | 25 S 9th St Fl 1, Philadelphia, PA 19107-4408 | 2011-04-22 |
| 1326350679 | Kristofer J Feeko | Physical Medicine & Rehabilitation | 25 S 9th St Fl 1, Philadelphia, PA 19107-4408 | 2010-07-01 |
| 1265552970 | Nethra Sridhara Ankam | Physical Medicine & Rehabilitation | 25 S 9th St Fl 1, Philadelphia, PA 19107-4408 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629531603 | Philadelphia Spine Associates | Physical Medicine & Rehabilitation | 5245 Germantown Ave Ste A, Philadelphia, PA 19144-2328 | 2019-04-08 |
| 1396258380 | West Philadelphia Pain Management Center | Physical Medicine & Rehabilitation | 5429 Chestnut St Ste G19, Philadelphia, PA 19139-3325 | 2017-11-13 |
| 1598294894 | Summer Lewise Schultz | Physical Medicine & Rehabilitation | 25 South 9th St, Ground Floor, Philadelphia, PA 19107 | 2017-06-08 |
| 1427428903 | Metro Physical Medicine Group Inc. | Physical Medicine & Rehabilitation | 2913 N 22nd St, Philadelphia, PA 19132-1505 | 2015-09-28 |
| 1659759652 | Phillip Michael O'connor | Physical Medicine & Rehabilitation | 3401 N Broad St Lowr Level, Philadelphia, PA 19140-5103 | 2015-05-11 |
| 1407267099 | Benjamin Kaplan | Physical Medicine & Rehabilitation | 9140 Academy Rd Ste A, Philadelphia, PA 19114-2853 | 2014-05-16 |
| 1013286814 | Peggy Lynn Abrams | Physical Medicine & Rehabilitation | 1531 Spruce St, Philadelphia, PA 19102-4501 | 2011-12-22 |
| 1487946042 | Randel Lynn Swanson II | Physical Medicine & Rehabilitation | 1800 Lombard St Fl 1, Penn Medicine Rittenhouse, Dept of Physical Med & Rehab, Philadelphia, PA 19146-1414 | 2011-05-13 |
| 1457586232 | Adam S Reese | Physical Medicine & Rehabilitation | 5501 Old York Rd Bldg Ground, Philadelphia, PA 19141-3018 | 2009-05-21 |
| 1417109638 | Brooke Elefant | Physical Medicine & Rehabilitation | 7140 Germantown Avenue, Philadelphia, PA 19119 | 2008-10-21 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
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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.