Kaylin Felice Goodwin, DPT
Individual provider Active NPI Physical Therapist · Irvington, AL
NPI 1508412867 · NPPES record last updated Jun 25, 2024
Key facts
- NPI
- 1508412867
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PTH9511 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191022003325 | AL | Practitioner - Physical Therapist in Private Practice | 7618209727 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH9511 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agilitas USA Inc | Physical Therapist | Current |
Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current |
Accepting new patients |
| Oates Healthcare Services Inc | Physical Therapist | Current |
Accepting new patients |
| Benchmark Physical Therapy of Alabama, LLC | Physical Therapist | Current |
Accepting new patients |
| Foundation Health | Physical Therapist | Past |
Accepting new patients |
| Benchmark Physical Therapy of Alabama, LLC | Physical Therapist | Past |
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
4682 Airport Blvd
Ste B
Mobile, AL 36608
Phone (251) 243-2676
2344 Schillinger Rd S
#1B
Mobile, AL 36695
Phone (251) 301-9812
7721 Airport Blvd
Ste E120
Mobile, AL 36608
Phone (251) 631-3680
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH9511 | AL | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTH9511 | Other | AL | PHYSICAL THERAPY LICENSE |
Other providers in Irvington, AL
- Connie Fleming LPC
- Caitlin Crews
- Loan Crider
- Alyssa Fernandez Davis
- Lily Dinh
- Sonia Singh Grevenitis
- Aayushka Gurung
- Brittany Haberman
- Cheryl Berg Horn
- House of Philadelphia, Inc.
All providers in Irvington, AL · Physical Therapist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.