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

Jonathan Hancock Goodman, DPT

Individual provider Physical Therapist · NPI 1093371031

Jonathan Hancock Goodman, DPT is a Physical Therapist in Private Practice in Pocatello, Idaho. Qualified in 2019, 7 years ago. Practices with Mountain Land Rehabilitation LLC, a 203-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
7
Licensed in
ID
In the registry since
2019
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1800 Flandro Dr Ste 190
Pocatello, ID 83202-4940
Phone: (208) 233-2248
Fax: (208) 233-0219
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-6416 (ID)

Record details

NPI number1093371031
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 15, 2019
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025
Mailing address1800 Flandro Dr Ste 190, Pocatello, ID 83202-4940

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mountain Land Rehabilitation Llc — 203 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pocatello