Bobbi Jo Goodwine, PT, DPT, OMPT, CLT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501010849 Issued in MI

Practice address

52900 Garfield Rd
Macomb, MI 48042-3573

Phone

(586) 991-1399

Fax

(586) 218-3111

NPI assigned

Apr 20, 2007

Last updated

Oct 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Bobbi Harding Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michigan in Motion Physical Therapy, LLCGroup PAC ID 5395136766, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Michigan in Motion Physical Therapy, LLC

  dba Michigan In Motion Physical Therapy

  • Orthopedic Physical Therapist
  • Macomb, MI
  • NPI 1639746993
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1679790323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52900 GARFIELD RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480423573",
            "telephone_number": "586-991-1399",
            "fax_number": "586-218-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52900 GARFIELD RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480423573",
            "telephone_number": "586-991-1399",
            "fax_number": "586-218-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWINE",
        "first_name": "BOBBI",
        "middle_name": "JO",
        "credential": "PT, DPT, OMPT, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "address_1": "52900 Garfield Rd",
            "city": "Macomb",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480423573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BOBBI",
            "last_name": "HARDING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Evans George, D.D.S.
• Shiny T George
• Faye Angeli Mae Guevara Geroche
• Jean-Luc Gilbert, M.A. CCC-SLP
• Taylor Girvan, CRNA
• Tarnisha Gordon, LCSW
• Mrunal Gore, MSC., PT
• Jacob Gregory Grabowski, DPT, PT
• Great Lakes Foot & Ankle Institute PC
• Great Lakes Scoliosis Center, P.C.

• Physical Therapist in Macomb, MI
• Providers in Macomb, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.