Active NPI
Morgan E Goodwin, DPT
- Orthopedic Physical Therapist
- Bossier City, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 10607
- Practice address
- 5000 Benton Rd Ste 1
Bossier City, LA 71111-6275 - Phone
- (318) 584-7025
- Fax
- (318) 703-6885
- NPI assigned
- Jun 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | |||
| Orthopedic Physical Therapist | 2251X0800X | 10607 | LA | Primary |
| Geriatric Physical Therapist | 2251G0304X | 10607 | LA |
Addresses
Primary practice location
5000 Benton Rd Ste 1
Bossier City, LA 71111-6275
Mailing address
5000 Benton Rd Ste 1
Bossier City, LA 71111-6275
Phone (318) 584-7025
Other practice location 1
8660 Fern Ave Ste 160
Shreveport, LA 71105-5694
Phone (318) 631-7999
Other practice location 2
2906 Plantation Dr
Bossier City, LA 71111-5851
Phone (318) 746-5295
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10607 | Other | LA | LOUISIANA STATE BOARD OF PHYSICAL THERAPY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.prepbossier.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5000 Benton Rd
Suite 1
Bossier City, LA 71111-6275
Phone (318) 584-7025
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Physical Therapy Group II LLC | Physical Therapist | Current | Accepting new patients |
| Prep Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
2906 Plantation Dr
Bossier City, LA 71111
Phone (318) 631-7999
5000 Benton Rd
Ste 1
Bossier City, LA 71111
Phone (318) 218-6652
8660 Fern Ave
Ste 160
Shreveport, LA 71105
Phone (318) 631-7999
Organizations & group practices 2
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.
-
- Physical Therapist
- Bossier City, LA
- NPI 1063910958
-
- Physical Therapy Clinic/Center
- Alexandria, LA
- NPI 1649859927
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626912000000",
"number": "1679197784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 BENTON RD STE 1",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711116275",
"telephone_number": "318-584-7025",
"fax_number": "318-703-6885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 BENTON RD STE 1",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711116275",
"telephone_number": "318-584-7025",
"fax_number": "318-703-6885"
}
],
"practiceLocations": [
{
"address_1": "8660 Fern Ave Ste 160",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711055694",
"country_code": "US",
"telephone_number": "318-631-7999",
"fax_number": "318-631-9528",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2906 Plantation Dr",
"address_purpose": "LOCATION",
"city": "Bossier City",
"state": "LA",
"postal_code": "711115851",
"country_code": "US",
"telephone_number": "318-746-5295",
"fax_number": "318-746-5297",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODWIN",
"first_name": "MORGAN",
"middle_name": "E",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-04",
"last_updated": "2021-07-22",
"certification_date": "2021-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "LA",
"license": "10607",
"primary": true
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "LA",
"license": "10607",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOUISIANA STATE BOARD OF PHYSICAL THERAPY",
"identifier": "10607",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.prepbossier.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "5000 Benton Rd Ste 1",
"city": "Bossier City",
"state": "LA",
"country_code": "US",
"postal_code": "711116275",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bossier City, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.