Individual provider Active NPI

Katryna Goodman

  • Contractor
  • Eustis, FL
National Provider Identifier
1417282492
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
009436 Issued in GA
Practice address
19111 Park Place Blvd
Eustis, FL 32736-7262
Phone
(317) 388-0800
Fax
(317) 388-0805
NPI assigned
Oct 9, 2009
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 009436 GA Primary

Addresses

Primary practice location

19111 Park Place Blvd
Eustis, FL 32736-7262

Mailing address

19111 Park Place Blvd
Eustis, FL 32736-7262
Phone (513) 814-6708

Other names 1

  • Katryna Turingan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251001004978 FL Practitioner - Physical Therapist in Private Practice 0840796488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

35 SE 1St Ave
Suite 200
Ocala, FL 34471-2177

378 NE 57TH St
Ocala, FL 34479-7602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009436GAMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Prosper Therapy CurrentSince Aug 22, 2025 Accepting new patients
Olive Branch Medical LLC PastSince Aug 16, 2025 Accepting new patients
Access Therapies,Inc Past Accepting new patients

Locations

35 SE 1st Ave
Ste 200
Ocala, FL 34471
Phone (352) 234-3332

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1417282492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19111 PARK PLACE BLVD",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327367262",
            "telephone_number": "513-814-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19111 PARK PLACE BLVD",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327367262",
            "telephone_number": "317-388-0800",
            "fax_number": "317-388-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "KATRYNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-09",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "GA",
            "license": "009436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRYNA",
            "last_name": "TURINGAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eustis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.

Verify at the official NPI Registry.