Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Blake Goode, DPT

Individual provider Physical Therapist · NPI 1447698113

Andrew Blake Goode, DPT is a Physical Therapist in Private Practice in Pocatello, Idaho. Qualified in 2012, 14 years ago. Practices with Streamline Sports Physical Therapy PC, a 2-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
14
Licensed in
ID
In the registry since
2013
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

335 E Lewis St Ste 10
Pocatello, ID 83201-6408
Phone: (208) 269-2360
Fax: (208) 550-3256
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-2964 (ID)

Record details

NPI number1447698113
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 4, 2013
Last updated in NPPESApril 24, 2023
Certification dateApril 24, 2023
Mailing address335 E Lewis St, Ste 10, Pocatello, ID 83201-6408

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Streamline Sports Physical Therapy Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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