{"npi":"1700285137","type":"NPI-1","status":"active","name":{"display":"Eric Gustafson","other":[],"first":"ERIC","last":"GUSTAFSON"},"specialty":{"primary_taxonomy":"225100000X","primary_taxonomy_description":"Physical Therapist","slug":"physical-therapist","schema_org_specialty":null,"all":[{"code":"225100000X","description":"Physical Therapist","primary":false,"state":"IL","license":"070-021112"},{"code":"225100000X","description":"Physical Therapist","primary":true,"state":"CO","license":"PTL.0018005"}]},"addresses":[{"purpose":"LOCATION","street_1":"2150 STADIUM DRIVE","city":"BOULDER","state":"CO","postal_code":"803094206","country_code":"US","phone":"3033159900","fax":"3033159902"},{"purpose":"MAILING","street_1":"PO BOX 9049","city":"BOULDER","state":"CO","postal_code":"803019049","country_code":"US","phone":"3033159900","fax":"3033159902"}],"license":{"state":"CO","number":"PTL.0018005"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20141202000356","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"IL","pac_id":"4688996655"},{"enrlmt_id":"I20220114001597","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"CO","pac_id":"4688996655"}]},"enumeration_date":"2014-08-21","last_updated":"2024-09-29","_meta":{"source":"NPPES","snapshot_date":"2024-09-29","doc_url":"https://findmynpi.com/api"}}