Active NPI
Matthew J Goodwill, P.T.
- Physical Therapist
- Cincinnati, OH
National Provider Identifier
1528262847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 011772
- Practice address
- 8099 Cornell Rd
Cincinnati, OH 45249-2231 - Phone
- (513) 793-3933
- Fax
- (513) 985-2242
- NPI assigned
- Jun 12, 2007
- Last updated
- Apr 1, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 011772 | OH | Primary |
Addresses
Primary practice location
8099 Cornell Rd
Cincinnati, OH 45249-2231
Mailing address
8099 Cornell Rd
Cincinnati, OH 45249-2231
Phone (513) 793-3933
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00622900 | Other | OH | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 011772 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238544000000",
"number": "1528262847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8099 CORNELL RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452492231",
"telephone_number": "513-793-3933",
"fax_number": "513-985-2242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8099 CORNELL RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452492231",
"telephone_number": "513-793-3933",
"fax_number": "513-985-2242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWILL",
"first_name": "MATTHEW",
"middle_name": "J",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-12",
"last_updated": "2009-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT 011772",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00622900",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.