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

Dr. Kevin Goller, DPT

Individual provider Physical Therapist · NPI 1114734688

Dr. Kevin Goller, DPT is a Physical Therapist in Private Practice in Roseville, California. Qualified in 2024, 2 years ago. Practices with Select Cal Physical Therapy PC, a 161-clinician group and works from 2 locations. Licensed in Arizona and California.

Years since qualifying
2
Licensed in
AZ, CA
In the registry since
2024
Specialties on file
2
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

5131 Foothills Blvd Ste 5
Roseville, CA 95747-6527
Phone: (916) 797-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13951 W Grand Ave Ste 201, Surprise, AZ 85374-2436 — (623) 537-9730

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 308075 (CA)
Physical Therapist Taxonomy 225100000X · Licence 033906 (AZ)

Record details

NPI number1114734688
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedDecember 17, 2024
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Select Cal Physical Therapy Pc — 161 clinicians
Accepts Medicare assignment Not indicated

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