Katelyn Regan Goodman, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT7856 Issued in MS

Practice address

3818 Hardy St Ste 20
Hattiesburg, MS 39402-1539

Phone

(601) 602-4652

NPI assigned

Sep 4, 2024

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

Enrolled in MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Active Recovery LLCGroup PAC ID 0749522381, 8 clinicians

Practice addresses (Care Compare)

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.

• Active Recovery LLC

  • Physical Therapy Clinic/Center
  • Hattiesburg, MS
  • NPI 1053883850

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1497580062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 CLAIRMONT CIR",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394401844",
            "telephone_number": "601-580-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3818 HARDY ST STE 20",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021539",
            "telephone_number": "601-602-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGAN GOODMAN",
        "first_name": "KATELYN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT7856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall Reece, DNP, CRNA
• Dominique Reed Watson, PHARMD
• Ashanti Reed, DNP, CRNA
• Crystal Reeves
• Susan Fortenberry Reeves, SLP
• Connie Regan, LCSW
• Cornelius E. Regan Jr., MD
• Regency Hospital of Hattiesburg, LLC
• Regency Hospital of Southern Mississippi LLC (Regency Hospital of Hattiesburg)
• Regency Hospital of Southern Mississippi, LLC

• Physical Therapist in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.