EVAN GUSTAVSEN


Address: 5909 W State St, Boise, ID 83703-3039
Phone: 2083437700

EVAN GUSTAVSEN (NPI# 1932754496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932754496
Entity Type Individual
Full Name EVAN GUSTAVSEN
Credential PT, DPT
Practice Address 5909 W State St
Boise
ID 83703-3039
Mailing Address 622 W Wyndemere Dr
Boise
ID 83702-1359
Practice Telephone 2083437700
Mailing Telephone 2082839592
Enumeration Date 2019-08-01
Last Update Date 2019-08-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225100000X Physical Therapist 6426 ID Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 5909 W STATE ST
City BOISE
State ID
Zip Code 83703-3039

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164684585 Jenny M Berryhill Physical Therapist 5909 W State St, Boise, ID 83703-3039 2008-06-26
1447815014 Davida Helene Mitchell Acupuncturist 5909 W State St, Boise, ID 83703-3039 2019-05-08
1467914036 Jesse Dale Newman Physical Therapy Assistant 5909 W State St, Boise, ID 83703-3039 2019-04-03
1619468543 Jason Epp Massage Therapist 5909 W State St, Boise, ID 83703-3039 2018-05-26
1659872208 Kenneth Andrew Mcmanus Massage Therapist 5909 W State St, Boise, ID 83703-3039 2018-02-27
1467952549 Jennifer R Thomsen Physical Medicine & Rehabilitation 5909 W State St, Boise, ID 83703-3039 2018-02-15
1649778978 Esther Winn Physical Therapist 5909 W State St, Boise, ID 83703-3039 2018-02-01
1235569864 Kathryn G Smith Massage Therapist 5909 W State St, Boise, ID 83703-3039 2013-11-18
1851654792 Lauren Mariet Wolfinger Physical Therapist 5909 W State St, Boise, ID 83703-3039 2012-06-15
1720317548 Betsy K Wiss Acupuncturist 5909 W State St, Boise, ID 83703-3039 2009-12-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386203974 Dylan Roy Chiropractor 5632 W State Street, Boise, ID 83703 2019-06-07
1124476858 Tidwell Social Work Services and Consulting, Inc. Community/Behavioral Health 5999 W. State St., Boise, ID 83703 2016-06-03
1801251244 Rebecca Lynn Cushing Massage Therapist 5909 W. State St, Boise, ID 83703 2015-12-30
1790181675 Malinda Poe Counselor 4440 W Taft St, Boise, ID 83703 2014-11-05
1689079469 Ashley Harker Massage Therapist 5909 W. State St., Boise, ID 83703 2014-10-23
1770987844 Brick House Recovery Counselor 3663 N Lakeharbor Ln, Boise, ID 83703 2014-10-17
1033512538 Ryan Warburton Physical Therapist 2999 N Lakeshore Lane, Ste 120, Boise, ID 83703 2014-09-29
1710386008 Suzanne Iannaccone Social Worker 4090 W State St Ste 221, Boise, ID 83703 2014-08-22
1588092464 Becky L. Marks Social Worker 3858 N. Garden Center Way, Suite 204, Boise, ID 83703 2013-10-31
1700219169 Pohley Richey Dietitian, Registered 6052 W State Street, Boise, ID 83703 2013-08-20
Find all providers in zip 83703

Taxonomy Information

Taxonomy Code 225100000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist

Taxonomy Definition

(1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury.
Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) 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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124637095 Rick Charles Loveland Physical Therapist 10390 W Sawtail St, Boise, ID 83714-9508 2020-07-27
1558979138 Chloe Coleman Physical Therapist 1961 S Broadway Ave, Boise, ID 83706-4201 2020-07-20
1811512650 Lauren Olivia Vangorp Physical Therapist 5418 N Eagle Rd Ste 170, Boise, ID 83713-0999 2020-06-08
1366089153 Shelby Mcgibney Physical Therapist 1835 Wildwood St, Boise, ID 83713-5146 2019-11-29
1417441270 James Liaw Physical Therapist 1109 W Myrtle St Ste 220, Boise, ID 83702-6975 2018-06-15
1720570997 Ron Giles Physical Therapist 2999 N Lakeharbor Ln Ste 120, Boise, ID 83703-6291 2018-06-04
1841701976 Pamela Brown Physical Therapist 2910 W Hazel St, Boise, ID 83703-5939 2017-10-16
1013436641 Renew Manual Physical Therapy Pllc Physical Therapist 7444 W Saxton Dr # K101, Boise, ID 83714-1316 2017-09-14
1609391952 Janice Lynette Fountain Physical Therapist 4110 N La Fontana Way, Boise, ID 83702-1559 2017-08-08
1134643885 Ian David Tracy Physical Therapist 1175 E Parkcenter Blvd Ste 104, Boise, ID 83706-6752 2017-08-02
Find all providers in BOISE

Competitor

Search similar providers

City BOISE
Zip Code 83703

Improve Information

Please comment or provide details below to improve the information on EVAN GUSTAVSEN.

Dataset Information

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.

Trending Searches