Active NPI
Mark F Goodrich, PT, ATC
- Physical Therapist
- Vincennes, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05003266A
- Practice address
- 2121 Willow St
Vincennes, IN 47591-5355 - Phone
- (812) 882-1141
- Fax
- (812) 255-0045
- NPI assigned
- Dec 8, 2005
- Last updated
- May 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05003266A | IN | Primary |
Addresses
Primary practice location
2121 Willow St
Vincennes, IN 47591-5355
Mailing address
1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (502) 882-9379
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
415 Crosslake Dr
Suite B
Evansville, IN 47715-8263
Phone (812) 476-0409
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05003266A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-State Orthopaedic Surgeons, Inc. | Current | Accepting new patients | |
| Orthopaedics-Indianapolis, Inc | Current | Accepting new patients | |
| Orthopaedics-Indianapolis, Inc | Current | Accepting new patients | |
| Orthopaedics-Indianapolis, Inc | Physical Therapist | Current | Accepting new patients |
| Tri-State Orthopaedic Surgeons, Inc. | Current | Accepting new patients | |
| Prorehab Inc | Physical Therapist | Current | Accepting new patients |
| Prorehab Inc | Physical Therapist | Current | Accepting new patients |
Locations
3070 Warrick Dr
Boonville, IN 47601
Phone (812) 431-0517
225 Crosslake Dr
Evansville, IN 47715
Phone (812) 471-6677
415 Crosslake Dr
Ste B
Evansville, IN 47715
Phone (812) 476-0764
4659 N 1st Ave
Evansville, IN 47710
Phone (812) 759-3001
5625 Pearl Dr
Ste 100
Evansville, IN 47712
Phone (812) 759-7493
5625 Pearl Dr
Ste 101
Evansville, IN 47712
Phone (812) 474-3800
7300 E Indiana St
Ste 102
Evansville, IN 47715
Phone (812) 759-7451
75 Industrial Park Rd
Ste D
Ferdinand, IN 47532
Phone (502) 882-9379
10294 S 150 E
Haubstadt, IN 47639
Phone (812) 768-5207
8450 Northwest Blvd
Indianapolis, IN 46278
8887 High Pointe Dr
Ste E
Newburgh, IN 47630
Phone (812) 759-7464
826 N State Road 161
Ste B
Rockport, IN 47635
Phone (812) 627-7007
2121 Willow St
Vincennes, IN 47591
Phone (812) 882-1141
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
Interoperability endpoints
- referral1@prorehab-vincennes.direct.kno2fy.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Evansville, IN
- NPI 1770565509
-
- Orthopaedic Surgery Physician
- Indianapolis, IN
- NPI 1336252451
Physical Therapist
-
- Orthopaedic Surgery Physician
- Evansville, IN
- NPI 1073501003
-
dba Orthoindy-Northwest
- Orthopaedic Surgery Physician
- Indianapolis, IN
- NPI 1073622015
-
dba Orthoindy
- Orthopaedic Surgery Physician
- Terre Haute, IN
- NPI 1285433953
-
- Durable Medical Equipment & Medical Supplies
- Vincennes, IN
- NPI 1841014933
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Vincennes, IN
- NPI 1699414961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746662400000",
"number": "1386629707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 LYNDON FARM CT STE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402235005",
"telephone_number": "502-882-9379",
"fax_number": "502-587-5728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 WILLOW ST",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475915355",
"telephone_number": "812-882-1141",
"fax_number": "812-255-0045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODRICH",
"first_name": "MARK",
"middle_name": "F",
"credential": "PT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-08",
"last_updated": "2025-05-08",
"certification_date": "2025-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05003266A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vincennes, IN
- Good Samaritan Hospital Physician Services Inc.
- Good Samaritan Hospital Physician Services, Inc
- Good Samaritan Hospital Physician Services, Inc
- Good Samaritan Hospital Physician Services, Inc
- Good Samaritan Hospital Physicians Services Inc
- Mattye Goodrich, RBT
- Linda Goodwin, LCSW
- Debbie Grabowski, M.S.,CCC-SLP
- Raymond B Graham, LCSW
- Grandview Care, Inc. (Bridgepointe Health Campus)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.