Individual provider Active NPI

Kaylin Felice Goodwin, DPT

  • Physical Therapist
  • Irvington, AL
National Provider Identifier
1508412867
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH9511 Issued in AL
Practice address
9420 Highway 188
Suite 9a
Irvington, AL 36544-3393
Phone
(251) 243-2676
Fax
(251) 244-3262
NPI assigned
Aug 13, 2019
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH9511 AL Primary

Addresses

Primary practice location

9420 Highway 188
Suite 9a
Irvington, AL 36544-3393

Mailing address

4850 A Dawes Lane E
Mobile, AL 36619-9029
Phone (251) 243-2676

Other practice location 1

2351 Dawes Road
Suite A
Mobile, AL 36695
Phone (251) 586-8784

Other practice location 2

3656 Government Blvd Ste F
Mobile, AL 36693-4305
Phone (251) 300-6666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191022003325 AL Practitioner - Physical Therapist in Private Practice 7618209727 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc Physical Therapist CurrentSince Jul 18, 2022 Accepting new patients
Benchmark Physical Therapy of Alabama, LLC Physical Therapist CurrentSince Jul 18, 2022 Accepting new patients
Oates Healthcare Services Inc Physical Therapist CurrentSince Apr 5, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jul 18, 2022 Accepting new patients
Foundation Health Physical Therapist PastSince Sep 21, 2025 Accepting new patients
Benchmark Physical Therapy of Alabama, LLC Physical Therapist PastSince Jul 1, 2022 Accepting new patients

Locations

153 Narrows Pkwy
Ste 101
Birmingham, AL 35242
Phone (205) 640-4881

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

4601 Whitesburg Dr SE
Ste 102
Huntsville, AL 35802
Phone (256) 883-1734

9420 Highway 188
Ste 9A
Irvington, AL 36544
Phone (251) 243-2676

2344 Schillinger Rd S
#1B
Mobile, AL 36695
Phone (251) 301-9812

4682 Airport Blvd
Ste B
Mobile, AL 36608
Phone (251) 243-2676

7721 Airport Blvd
Ste E120
Mobile, AL 36608
Phone (251) 631-3680

Organizations & group practices 6

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": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1508412867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 A DAWES LANE E",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366199029",
            "telephone_number": "251-243-2676",
            "fax_number": "251-244-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 HIGHWAY 188",
            "address_2": "SUITE 9A",
            "city": "IRVINGTON",
            "state": "AL",
            "postal_code": "365443393",
            "telephone_number": "251-243-2676",
            "fax_number": "251-244-3262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2351 Dawes Road",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "36695",
            "country_code": "US",
            "telephone_number": "251-586-8784",
            "fax_number": "251-586-8954",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3656 Government Blvd Ste F",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366934305",
            "country_code": "US",
            "telephone_number": "251-300-6666",
            "fax_number": "251-300-6665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "KAYLIN",
        "middle_name": "FELICE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2024-06-25",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH9511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.