Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Brady Gooch

Individual provider Physical Therapist · NPI 1942185624

Brady Gooch is registered under Physical Therapist in Private Practice in Meridian, Idaho. Qualified in 2025, 1 year ago. Practices with Mountain Land Rehabilitation LLC, a 203-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
1
Licensed in
ID
In the registry since
2025
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Practice location Address checks out

1450 E Fairview Ave # 201
Meridian, ID 83642-1819
Phone: (208) 887-6757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 6171077 (ID)

Record details

NPI number1942185624
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 11, 2025
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Mountain Land Rehabilitation Llc — 203 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Mountain Land Rehabilitation LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 203 clinicians in the practice; 12 are shown here.

Other providers in Meridian