BETH GUSTAFSON (NPI# 1033624846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033624846 |
| Entity Type | Individual |
| Full Name | BETH GUSTAFSON |
| Credential | PT, MSED, DHSC |
| Practice Address |
2631 W 8th St Erie PA 16505-4034 |
| Practice Telephone | 8144640627 |
| Mailing Telephone | 8144640627 |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
PT001131E | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
PT001131E | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT001131E | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT001131E | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2631 W 8TH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16505-4034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457494494 | Markelle Lane Blair | Occupational Therapist | 2631 W 8th St, Erie, PA 16505-4034 | 2007-02-15 |
| 1174120505 | Katherine Adamczyk | Physical Therapy Assistant | 2631 W 8th St, Erie, PA 16505-4034 | 2020-10-08 |
| 1215540919 | Kayla Wise | Speech-Language Pathologist | 2631 W 8th St, Erie, PA 16505-4034 | 2020-08-24 |
| 1891307831 | Heather Cooke | Occupational Therapy Assistant | 2631 W 8th St, Erie, PA 16505-4034 | 2020-08-20 |
| 1336751437 | Sydney Gornic | Speech-Language Pathologist | 2631 W 8th St, Erie, PA 16505-4034 | 2020-08-19 |
| 1073145835 | Debra H Seneta | Speech-Language Pathologist | 2631 W 8th St, Erie, PA 16505-4034 | 2020-02-10 |
| 1881230951 | Julia Napper | Occupational Therapy Assistant | 2631 W 8th St, Erie, PA 16505-4034 | 2019-11-22 |
| 1861952806 | Alyssa Marie Perkowski | Speech-Language Pathologist | 2631 W 8th St, Erie, PA 16505-4034 | 2019-03-25 |
| 1427580836 | Niagara Therapy, LLC | Clinic/Center | 2631 W 8th St, Erie, PA 16505-4034 | 2017-04-03 |
| 1811430424 | Kiley Mier | Occupational Therapist | 2631 W 8th St, Erie, PA 16505-4034 | 2016-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790275634 | Megan Elizabeth Rahill | Registered Nurse | 610 Seminole Dr, Erie, PA 16505 | 2018-05-16 |
| 1740784222 | Tracy Zong Cheng | Student in an Organized Health Care Education/Training Program | 1645 W 8th Street, Suite 200, Erie, PA 16505 | 2018-03-20 |
| 1073067724 | Epeople Health Care Inc | Home Health | 2133 W 8th St, Erie, PA 16505 | 2016-08-11 |
| 1629424411 | Kimberly Roderick | Registered Nurse | 1324 S. Shore Drive Apt. G07, Erie, PA 16505 | 2016-05-11 |
| 1437516432 | April Vogeley | Counselor | 1004 Farrell Road, Erie, PA 16505 | 2016-01-21 |
| 1538563499 | Laurence William Veihdeffer | Dentist | 2021 W 8 St., Erie, PA 16505 | 2014-10-21 |
| 1255617908 | Shannon Renee Luke | Licensed Practical Nurse | 1416 Custer Dr., Erie, PA 16505 | 2011-10-26 |
| 1699904227 | William Jackson Koehler | Social Worker | 2230 W 8th St Ste 2, Erie, PA 16505 | 2009-07-02 |
| 1972747657 | Kristen Marie Huber | Counselor | 823 Filmore Ave, Erie, PA 16505 | 2009-04-27 |
| 1851556351 | Stephanie Lynn Miller | Technician, Other | 2564 West 12th St., Erie, PA 16505 | 2008-07-23 |
| Find all providers in zip 16505 | ||||
| Taxonomy Code | 2251N0400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Neurology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912235656 | Kristine Sue Legters | Physical Therapist | 129 W 36th St, Erie, PA 16508-2903 | 2009-11-18 |
| 1194061390 | Daniel Brian Kelly | Physical Therapist | 129 W 36th St, Erie, PA 16508-2903 | 2012-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891254793 | Valerie Leigh Marchion | Physical Therapist | 642 Newtown Yardley Rd Ste 120, Newtown, PA 18940-1775 | 2019-03-19 |
| 1598298929 | Carol Ann Davidson | Physical Therapist | 7103 Sherman St, Philadelphia, PA 19119-3306 | 2017-04-04 |
| 1003095324 | Personal Touch Rehab and Fitness | Physical Therapist | 8118 Old York Road, Ul, Elkins Park, PA 19027-1900 | 2007-11-02 |
| 1649210402 | Georgette Irene Driskill | Physical Therapist | 412 Creamery Way, Suite 300, Exton, PA 19341-2551 | 2006-06-08 |
| 1104871987 | Kiersten Shevchik | Physical Therapist | 6729 Fieldcrest Dr, Delmont, PA 15626-7209 | 2006-05-23 |
| 1477163368 | Ryan Ellis | Physical Therapist | 69 Cottage Rd, Mifflin, PA 17058-7030 | 2020-08-05 |
| 1548878580 | Jaclyn Grenier | Physical Therapist | 414 Paoli Pike, Malvern, PA 19355-3311 | 2020-07-15 |
| 1962022590 | Rachel Mcclelland | Physical Therapist | 1513 Race St, Philadelphia, PA 19102-1125 | 2020-04-23 |
| 1164058301 | Kyle Anthony Cunningham | Physical Therapist | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-03-19 |
| 1427682269 | Vanessa Marciello | Physical Therapist | 1534 Park Ave Ste 110, Quakertown, PA 18951-1085 | 2020-03-02 |
| Find all providers with the same taxonomy | ||||
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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.