Stephanie Goodwin, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Practice address

756 N Sun Dr
Lake Mary, FL 32746-2507

Phone

(407) 852-3300

NPI assigned

Oct 9, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1396255998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 LANCE CT",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 N SUN DR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462507",
            "telephone_number": "407-852-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4780 Data Ct",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328178331",
            "country_code": "US",
            "telephone_number": "407-852-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "STEPHANIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-09",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna A Good, DOM, AP
• Karissa Ann Good, BEHAVIOR TECHNICIAN
• Dean Allen Goodall, DDS
• Sydney Goodijohn
• Aaron M. Goodwin, D.O., D.M.D.
• Gordon Home Health Ministries Inc
• Judith C Gorospe
• Sonny Dominguez Gorospe, RPT,RN
• Goss, Parker & Quinsey, P.a.
• Goss, Parker and Quinsey, P.a.

• Pediatric Physical Therapist in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Pediatric Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.