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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164178992

Kyle Robert Goodban, PT, DPT is a Physical Therapist in Private Practice in Lincoln, Nebraska. Works from 2 locations. Licensed in Nebraska.

Licensed in
NE
In the registry since
2022
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

5000 Saint Paul Ave
Lincoln, NE 68504-2760
Phone: (402) 465-7508
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4055 Yankee Hill Rd Ste 102, Lincoln, NE 68516-7735 — (402) 434-5895

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 4947 (NE)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1164178992
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMarch 2, 2022
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026
Mailing addressPo Box 5285, Grand Island, NE 68802-5285

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated

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