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

Dr. Andrew Jimin Gottfredson, DPT

Individual provider Physical Therapist · NPI 1861230922

Dr. Andrew Jimin Gottfredson, DPT is a Physical Therapist in Private Practice in Provo, Utah. Qualified in 2023, 3 years ago. Practices with Spine Orthopedic and Sports Physical Therapy LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
3
Licensed in
UT
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3303 N University Ave
Provo, UT 84604-4438
Phone: (801) 373-7438
Fax: (801) 373-7486
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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 13980561-2401 (UT)

Record details

NPI number1861230922
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 15, 2024
Last updated in NPPESJuly 15, 2024
Certification dateJuly 15, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Spine Orthopedic And Sports Physical Therapy Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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