IndividualActive
Adam Goodwin, PT, DPT
NPI 1619721917 · Physical Therapist · Stockton, CA
Provider details
- NPI number
- 1619721917
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 305514 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3110 Wagner Heights Rd
Stockton, CA 95209-4848
Phone: (209) 956-3444
Approximate (ZIP-level) locationGet directions
Mailing address
7768 Lialana Way
Citrus Heights, CA 95610-5023
Registry dates
- Enumerated
- 2024-04-15
- Last updated
- 2024-04-15
- Certified
- 2024-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.