Carl Gustafson (NPI# 1225119597, PAC ID# 5092786525) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1225119597 |
| PAC ID by PECOS | 5092786525 |
| Professional Enrollment ID | I20120104000671 |
| Full Name | Carl Gustafson |
| Organization Legal Name | PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC |
| Address |
2 Icehouse Rd Medfield MA 02052-1555 |
| Phone Number | 5082429478 |
| Gender | M |
| Graduation Year | 1987 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 7911979950 |
| Number of Group Practice Members | 131 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2 Icehouse Rd, Medfield, MA 02052-1555 | 5082429478 | PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC |
| Organization Legal Name | PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC |
| Physicians | 147 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kerri Ann Graber | Physical Therapy | Performance Rehabilitation of Western New England LLC | 425 Brookline Ave, Boston, MA 02215-5410 |
| Rachel Annelise Boynton | Physical Therapy | Performance Rehabilitation of Western New England LLC | 348 Cooley St, Unit 10, Springfield, MA 01128-1144 |
| Jessica Marie Mclaughlin | Physical Therapy | Performance Rehabilitation of Western New England LLC | 947 Worcester St, Natick, MA 01760-2032 |
| Kevin Michael Rzepka | Physical Therapy | Performance Rehabilitation of Western New England LLC | 168 Denslow Rd, East Longmeadow, MA 01028-3188 |
| Julia R Biedrzycki | Physical Therapy | Performance Rehabilitation of Western New England LLC | 75 Spring St, Suite 77, West Roxbury, MA 02132-4335 |
| Anna Lawson Duffey | Physical Therapy | Performance Rehabilitation of Western New England LLC | 14 Mcgrath Hwy, Unit 5, Somerville, MA 02143-4505 |
| Dianne Linda Hagan | Occupational Therapy | Performance Rehabilitation of Western New England LLC | 1661 Worcester Rd, Suite 105, Framingham, MA 01701-5405 |
| Christopher Thomas Stack | Physical Therapy | Performance Rehabilitation of Western New England LLC | 194 Newbury St, Peabody, MA 01960-2421 |
| Kevin Michael Traupmann | Physical Therapy | Performance Rehabilitation of Western New England LLC | 2 Laurel Ave, Wellesley, MA 02481-7523 |
| Jordan Scott Metcalf | Physical Therapy | Performance Rehabilitation of Western New England LLC | 1 Kendall Sq, Suite B14104, Cambridge, MA 02139-1573 |
| Street Address |
2 ICEHOUSE RD |
| City | MEDFIELD |
| State | MA |
| Zip | 02052-1555 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Wheeler | Physical Therapy | Performance Rehabilitation of Western New England LLC | 2 Icehouse Rd, Medfield, MA 02052-1555 |
| Danielle M Kaprielian | Physical Therapy | Performance Rehabilitation of Western New England LLC | 2 Icehouse Rd, Medfield, MA 02052-1555 |
| Erica Feitler | Physical Therapy | Performance Rehabilitation of Western New England LLC | 2 Icehouse Rd, Medfield, MA 02052-1555 |
| Leeza Meteleva | Physical Therapy | Performance Rehabilitation of Western New England LLC | 2 Icehouse Rd, Medfield, MA 02052-1555 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn Simonovich | Optometry | Ilana Orelowitz O.d. Inc | 67 W St, Medfield, MA 02052 |
| Ilana Orelowitz | Optometry | Ilana Orelowitz O.d. Inc | 67 W St, Medfield, MA 02052 |
| Amie B Adams | Optometry | Ilana Orelowitz O.d. Inc | 67 W St, Medfield, MA 02052 |
| Linda R Stoler | Psychologist, Clinical | 50 N St, Suite 100, Medfield, MA 02052-1654 | |
| Mark H Abensohn | Internal Medicine | Mark H. Abensohn, M.d., L.L.C. | 266 Main St, Suite 4, Medfield, MA 02052-2018 |
| Jennifer T Phan | Nurse Practitioner | Mark H. Abensohn, M.d., L.L.C. | 266 Main St, Suite 4, Medfield, MA 02052-2018 |
| Jennifer Bogdanovitch | Internal Medicine | Mark H. Abensohn, M.d., L.L.C. | 266 Main St, Medfield, MA 02052-2018 |
| Charles J Mcinnis | Internal Medicine | 266 Main St, Suite 41a, Medfield, MA 02052-2064 | |
| Kristin C Meloni | Physical Therapy | Medfield Orthopedic and Sports Physical Therapy | 5 N Meadows Rd, Medfield, MA 02052-2317 |
| Angela Koulax | Physical Therapy | Medfield Orthopedic and Sports Physical Therapy | 5 N Meadows Rd, Medfield, MA 02052-2317 |
| Find all physicians in zip 02052 | |||
| City | MEDFIELD |
| Zip Code | 02052 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | MEDFIELD + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.