Edward Titus Goodman III, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH4539 Issued in AL

Practice address

4825 University SQ
Suite 9
Huntsville, AL 35816-1826

Phone

(256) 348-2144

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Lifestyle Therapeutix

  • Physical Therapy Clinic/Center
  • Huntsville, AL
  • NPI 1316323314
  Medicare reassignment NPD Authorized official
• Dynamic Performance Therapy and Rehabilitation, Inc

  • Physical Therapy Clinic/Center
  • Madison, AL
  • NPI 1669559944

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1801988910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 OSCAR PATTERSON RD",
            "city": "NEW MARKET",
            "state": "AL",
            "postal_code": "357619418",
            "telephone_number": "256-348-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 UNIVERSITY SQ",
            "address_2": "SUITE 9",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358161826",
            "telephone_number": "256-348-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "EDWARD",
        "middle_name": "TITUS",
        "name_suffix": "III",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH4539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard D Gonzales, MD
• Jessica M Gonzalez, CRNP
• Good Samaritan Clinic Inc
• Hayden Goode, OTR/L, OTD
• Haylee Brooke Goode
• Jenna Goodson
• Madilynn Michele Goodson, OTR
• William Houston Goodson Jr., M.D.
• Andrea M. Goodwin, ANCP, MSN
• Byrom Odell Goodwin Sr., ED.S., L.P.C.

• Physical Therapist in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.