DR. KEVIN GOLLER DPT
NPI 1114734688
Physical Therapist in Roseville, CA

Active since December 17, 2024
5131 FOOTHILLS BLVD STE 5, ROSEVILLE, CA 95747(916) 797-2273 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2025, Mar 19, 2025, Dec 17, 2024 (3 updates tracked since 2024).

About Dr. Kevin Goller Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN GOLLER DPT (NPI 1114734688) is an individual physical therapist in Roseville, California, licensed in California (308075) and active in the NPI registry since December 2024. He maintains a secondary practice location in Surprise and is a graduate of Other (2024).

NPPES Registry Identity

NPI1114734688
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDR. KEVIN GOLLERCredential: DPT
Location Address5131 FOOTHILLS BLVD STE 5Roseville, CA 95747-6527
Mailing Address15400 W Goodyear Blvd N Apt 267Goodyear, AZ 85338-1549 · (925) 325-6130
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 17, 2024
Last NPPES UpdateMay 16, 20253 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
NPI 1114734688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses Licensed in CA · 308075 Licensed in AZ · 033906
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
5131 FOOTHILLS BLVD STE 5, Roseville, CA 95747

Secondary Practice Location 1

Location 113951 W Grand Ave Ste 201Surprise, AZ 85374-2436 · Phone (623) 537-9730 · Fax (623) 537-9871

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kevin Goller Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658883053
PECOS Enrollment IDI20250623001212

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
5131 FOOTHILLS BLVD STE 5
ROSEVILLE, CA 95747
Clinic/Center (Physical Therapy)
5131 FOOTHILLS BLVD STE 5
ROSEVILLE, CA 95747
Physical Therapist
5131 FOOTHILLS BLVD STE 5
ROSEVILLE, CA 95747

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Goller's NPI number?

The NPI number for Kevin Goller is 1114734688. It was assigned to this individual provider in the NPPES registry on December 17, 2024.

Where is Kevin Goller located?

Kevin Goller practices at 5131 Foothills Blvd Ste 5, Roseville, CA 95747. The listed phone number is (916) 797-2273.

What is Kevin Goller's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Kevin Goller enrolled in Medicare?

Yes. Kevin Goller is registered in the Medicare PECOS enrollment system.

What insurance does Kevin Goller accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Kevin Goller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Goller was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.