JOHN-PHILIP GOODMAN (DPT) – Physical Therapist, NPI 1669135331

JOHN-PHILIP GOODMAN (DPT) is a healthcare provider. based in Syracuse, New York. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 047961 (NY). The NPI Number for JOHN-PHILIP GOODMAN (DPT) is 1669135331

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
JOHN-PHILIP GOODMAN (DPT)
NPI
1669135331
Phone
(315) 399-3805
Address
225 Wilkinson St
Enumeration Date
19 October 2021
Last Update Date
25 October 2021

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Secondary Phone
3155699308
Graduation Year
2021 (5 years ago)
PAC ID
1850743378
Group Practice PAC ID
4981996923
Professional Enrollment ID
I20240122000087
Address ID
NY13215XXXXSYXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

8,723 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NY

Provider Addresses for JOHN-PHILIP GOODMAN (DPT)

  • 225 Wilkinson St

    Syracuse, NY 132042456

    Phone: (315) 399-3805

    Type: Location

  • 325 MCCLENNAN DR

    FAYETTEVILLE, NY 130661238

    Phone: (315) 399-3805

    Type: Mailing

  • 171 INTREPID LN

    SYRACUSE, NY 132052548

    Phone: (315) 437-4689

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240122000087IPhysical Therapist In Private PracticeNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 13204)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981996923View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeNY
Occupational Therapist In Private PracticeNY
Physical Therapist In Private PracticeNY
-NY
Physical Therapist In Private PracticeNY

Reviews

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Frequently asked questions

Can I cross-check JOHN-PHILIP GOODMAN (DPT) using NPI 1669135331?
NPI 1669135331 belongs to JOHN-PHILIP GOODMAN (DPT); compare other details if you need extra assurance.
Would JOHN-PHILIP GOODMAN (DPT) appear as active to a payer?
You can treat JOHN-PHILIP GOODMAN (DPT) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for JOHN-PHILIP GOODMAN (DPT)?
At a glance, JOHN-PHILIP GOODMAN (DPT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JOHN-PHILIP GOODMAN (DPT)?
Travel planning: use Syracuse, New York as the reference point for JOHN-PHILIP GOODMAN (DPT), then confirm.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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