Individual provider Active NPI

Donna Goodwin, MS, PT, MOMT

  • Physical Therapist
  • Birmingham, AL
National Provider Identifier
1700982253
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH2304 Issued in AL
Practice address
1770 Independence CT
Suite a
Birmingham, AL 35216-1259
Phone
(205) 871-4914
Fax
(205) 871-6516
NPI assigned
Sep 15, 2006
Last updated
May 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH2304 AL Primary

Addresses

Primary practice location

1770 Independence CT
Suite a
Birmingham, AL 35216-1259

Mailing address

1770 Independence CT
Suite a
Birmingham, AL 35216-1259
Phone (205) 871-4914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050629000339 AL Practitioner - Physical Therapist in Private Practice 6608822051 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PTH2304ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Associates, LLC Physical Therapist CurrentSince May 4, 2020 Accepting new patients
Champion Sports Medicine Birmingham, LLC. CurrentSince Nov 1, 2021 Accepting new patients
Champion Sports Medicine Birmingham, LLC. Physical Therapist Current Accepting new patients
Rehab Associates, LLC CurrentSince May 4, 2020 Accepting new patients
Champion Sports Medicine Birmingham, LLC. CurrentSince Nov 1, 2021 Accepting new patients

Locations

2050 Gadsden Hwy
Ste 104
Trussville, AL 35235
Phone (205) 655-7231

1021 Montgomery Hwy
Ste 200
Vestavia Hills, AL 35216
Phone (205) 882-6990

200 Montgomery Hwy
Ste 150
Vestavia Hills, AL 35216
Phone (205) 822-0067

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1700982253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 INDEPENDENCE CT",
            "address_2": "SUITE A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352161259",
            "telephone_number": "205-871-4914",
            "fax_number": "205-871-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 INDEPENDENCE CT",
            "address_2": "SUITE A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352161259",
            "telephone_number": "205-871-4914",
            "fax_number": "205-871-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "DONNA",
        "credential": "MS, PT, MOMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH2304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.