Individual provider Active NPI

Morgan E Goodwin, DPT

  • Orthopedic Physical Therapist
  • Bossier City, LA
National Provider Identifier
1679197784
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
10607 Issued in LA
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

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10607OtherLALOUISIANA STATE BOARD OF PHYSICAL THERAPY

Electronic endpoints 1

TypeEndpointUseAffiliation
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

Enrollment IDStateProvider typePAC IDDetails
I20200611002307 LA Practitioner - Physical Therapist in Private Practice 0941622344 Reassigns benefits to 1 organization

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
Prep Physical Therapy, LLCGroup PAC ID 0648526475, 3 clinicians

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

OrganizationSpecialtyStatusNew patients
Elite Physical Therapy Group II LLC Physical Therapist CurrentSince Jan 1, 2024 Accepting new patients
Prep Physical Therapy, LLC Physical Therapist CurrentSince Jul 6, 2021 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.

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.

Verify at the official NPI Registry.