Mark F Goodrich, PT, ATC
Individual provider Active NPI Physical Therapist · Vincennes, IN
NPI 1386629707 · NPPES record last updated May 8, 2025
Key facts
- NPI
- 1386629707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 05003266A (IN)
- Practice address
- 2121 Willow St
Vincennes, IN 47591-5355 - Phone
- (812) 882-1141
- Fax
- (812) 255-0045
- NPI assigned
- Dec 8, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prorehab Inc
Practice addresses (Care Compare)
415 Crosslake Dr
Suite B
Evansville, IN 47715-8263
Phone (812) 476-0409
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080306000013 | IN | Practitioner - Physical Therapist in Private Practice | 7416041926 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
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 | |
| Prorehab Inc | Physical Therapist | Current |
Accepting new patients |
| Orthopaedics-Indianapolis, Inc | Current |
Accepting new patients | |
| Tri-State Orthopaedic Surgeons, Inc. | Current |
Accepting new patients | |
| Prorehab Inc | Physical Therapist | Current |
Accepting new patients |
| Orthopaedics-Indianapolis, Inc | Physical Therapist | Current | Accepting new patients |
| Orthopaedics-Indianapolis, Inc | Current |
Accepting new patients |
Locations
3070 Warrick Dr
Boonville, IN 47601
Phone (812) 431-0517
5625 Pearl Dr
Ste 101
Evansville, IN 47712
Phone (812) 474-3800
4659 N 1st Ave
Evansville, IN 47710
Phone (812) 759-3001
415 Crosslake Dr
Ste B
Evansville, IN 47715
Phone (812) 476-0764
5625 Pearl Dr
Ste 100
Evansville, IN 47712
Phone (812) 759-7493
7300 E Indiana St
Ste 102
Evansville, IN 47715
Phone (812) 759-7451
225 Crosslake Dr
Evansville, IN 47715
Phone (812) 471-6677
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05003266A | IN | Yes |
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
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
- Linda Goodwin
- Debbie Grabowski
- Raymond B Graham
- Grandview Care, Inc.
All providers in Vincennes, IN · Physical Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.