Lori B Gustafson, PTA

Specialty details in registry · Valley Head, AL

Call (912) 996-3567 Directions

At a glance

3034 County Road 611, Valley Head, AL 35989-4623

NPPES record updated May 3, 2021. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Medicare & insurance

Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.

How to check your coverage

Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.

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Practice location

3034 County Road 611
Valley Head, AL 35989-4623

Additional reported practice locations

6001 Sw 6Th Ave Ste 230
Topeka, KS 666151004
Phone: 7852329805
REPORTED BACKGROUND

Education & affiliations

No matching clinician background record in the imported CMS release.

Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.

Source: CMS National Downloadable File · Published Oct 15, 2026.

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PUBLISHED MEDICARE ACTIVITY

Procedures in the public data

Reported activity can help you ask more informed questions about a practice’s services.

No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.

CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology

Source: CMS Utilization Data · Published Oct 15, 2026.

Service-mix comparison is unavailable for this NPI in the imported Medicare service file.

PAYMENT TRANSPARENCY

Industry-reported general payments

No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.

Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.

Professional details: NPI, taxonomy & registry record
NPI1861952194
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
225200000X
Enumeration date
Mar 22, 2019
Record updated
May 3, 2021
More registry details
Provider type
Individual · Type 1
Reported credentials
PTA

Reported taxonomies and licenses

Specialty details in registry

225200000X

License reported: 7501 TN

Specialty details in registry

225200000X

License reported: PTA10177 AL

Specialty details in registry

225200000X

License reported: 14-03493 KS

Specialty details in registry

225200000X · Primary

License reported: PTA004592 GA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

3034 County Road 611
Valley Head, AL 35989-4623
Phone
(912) 996-3567
Fax
(855) 232-8604
Mailing address
3034 COUNTY ROAD 611

VALLEY HEAD, AL 359894623
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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