Caitlyn Taylor Goodwin, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10697 Issued in SC

Practice address

118A N Brickyard Rd
Columbia, SC 29223-6902

Phone

(803) 440-7941

NPI assigned

Jun 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Phoenix Rehabilitation and Health Services of South Carolina, LLC

  • Physical Therapist
  • Cranberry Township, PA
  • NPI 1457836835

  SC

  Medicare reassignment NPD
• Envision Therapy Services, LLC

  • Physical Therapist
  • Columbia, SC
  • NPI 1346507571
  NPD

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1427624410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118A N BRICKYARD RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236902",
            "telephone_number": "803-440-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118A N BRICKYARD RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236902",
            "telephone_number": "803-440-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "CAITLYN",
        "middle_name": "TAYLOR",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "SC",
            "license": "10697",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher W Goodman, M.D.
• Janelle Goodman
• Makayla Patrice Goodman
• James N Goodson III, FNP
• Kevin Todd Goodwill, PTA
• Chandra Leshell Goodwin, M.A., LPC-I
• David Goodwin
• India Goodwin
• Nadia Goodwin
• Niesha Goodwin, RBT

• Physical Therapist in Columbia, SC
• Providers in Columbia, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.