Mrs Ellen Kristen Gustafson, DPT - Physical Therapist in Mount Airy, MD

Mrs Ellen Kristen Gustafson, DPT is a Physical Therapist based in Mount Airy, Maryland. Mrs Ellen Kristen Gustafson is licensed to practice in Maryland (license number 24213) and her current practice location is 1311 S Main St, Suite 204, Mount Airy, Maryland. She can be reached at her office (for appointments etc.) via phone at (301) 607-9096.

NPI number for Mrs Ellen Kristen Gustafson is 1609146216 and her current mailing address is 1311 S Main St, Suite 204, Mount Airy, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609146216.

Contact Information

Mrs Ellen Kristen Gustafson, DPT
1311 S Main St, Suite 204,
Mount Airy, MD 21771-5447
(301) 607-9096
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Ellen Kristen Gustafson
GenderFemale
SpecialityPhysical Therapist
Location1311 S Main St, Mount Airy, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1609146216
  • Provider Enumeration Date: 01/12/2012
  • Last Update Date: 11/14/2012

Medical Identifiers

Medical identifiers for Mrs Ellen Kristen Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609146216NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 24213 (Maryland)Primary
225100000XPhysical Therapist PT 60255109 (Washington)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Ellen Kristen Gustafson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Ellen Kristen Gustafson, DPT
1311 S Main St, Suite 204,
Mount Airy, MD 21771-5447

Ph: (301) 607-9096
Mrs Ellen Kristen Gustafson, DPT
1311 S Main St, Suite 204,
Mount Airy, MD 21771-5447

Ph: (301) 607-9096

Reviews and Comments


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Mrs. Megan Elizabeth Baker, DPT
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Jill Harper,
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Practice Location: 1 Park Ave, Mount Airy, MD 21771
Phone: 301-607-8383    

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