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JODY GUSTAFSON
NPI 1053655860
Physical Therapist - Pediatrics in Bothell, WA

Active since November 16, 2012
3330 MONTE VILLA PKWY, BOTHELL, WA 98021(425) 408-5570 Get Directions Write a Review

NPPES record last updated: November 16, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jody Gustafson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JODY GUSTAFSON (NPI 1053655860) is an individual pediatrics provider in Bothell, Washington, licensed in Washington (PT 00002619) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1053655860
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameJODY GUSTAFSON
Location Address3330 MONTE VILLA PKWYBothell, WA 98021-8972
Mailing Address19705 88th Ave NeBothell, WA 98011-2121
Phone(425) 408-5570
Sole ProprietorNo
Enumeration DateNovember 16, 2012
✔ NPI 1053655860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in WA · PT 00002619
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
3330 MONTE VILLA PKWY, Bothell, WA 98021
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANE ELLEN BAUMGARTNER PT
Physical Therapist
3330 MONTE VILLA PKWY
BOTHELL, WA 98021
Snohomish County (425) 408-6000
PATRICIA GROEBNER OTRL
Occupational Therapist
3330 MONTE VILLA PKWY
BOTHELL, WA 98021
Snohomish County (425) 408-6062
MS. DANIELLE REILLY RN
Registered Nurse
3330 MONTE VILLA PKWY
BOTHELL, WA 98021
Snohomish County (425) 408-7733
JENNIFER GRINER
Registered Nurse (School)
3330 MONTE VILLA PKWY
BOTHELL, WA 98021
Snohomish County (425) 408-7733
ANDREW MICHAEL WOJCIK
Physical Therapist
3330 MONTE VILLA PKWY
BOTHELL, WA 98021
Snohomish County (425) 408-7733
CARRIE KAETER
Registered Nurse (School)
3330 MONTE VILLA PKWY
BOTHELL, WA 98021
Snohomish County (425) 408-5206
AMANDA KUSHIMA RN
Registered Nurse
3330 MONTE VILLA PKWY
BOTHELL, WA 98021
Snohomish County (425) 408-7006
KATRINA MEIUSI
Registered Nurse (School)
3330 MONTE VILLA PKWY
BOTHELL, WA 98021
Snohomish County (425) 408-5606

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jody Gustafson's NPI number?

The NPI number for Jody Gustafson is 1053655860. It was assigned to this individual provider in the NPPES registry on November 16, 2012.

Where is Jody Gustafson located?

Jody Gustafson practices at 3330 Monte Villa Pkwy, Bothell, WA 98021. The listed phone number is (425) 408-5570.

What is Jody Gustafson's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Jody Gustafson was last updated on November 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.